Individual provider Active NPI

Sarah Fedak

  • Psychiatric/Mental Health Nurse Practitioner
  • New York, NY
National Provider Identifier
1962879460
Registry record updated Jun 23, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
403369 Issued in NY
Practice address
109 W 27TH St RM 5S
New York, NY 10001-6208
Phone
(833) 351-8255
NPI assigned
Aug 31, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 23, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 403369 NY Primary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 832571 NV
Psychiatric/Mental Health Nurse Practitioner 363LP0808X AP128646 TX

Addresses

Primary practice location

109 W 27TH St RM 5S
New York, NY 10001-6208

Mailing address

4618 Creekbend Dr
Houston, TX 77035-5016
Phone (832) 529-8336

Other practice location 1

950 W Bannock St
Boise, ID 83702-5999
Phone (833) 351-8255

Other practice location 2

10 W Broadway
Salt Lake City, UT 84101-2002
Phone (833) 351-8255

Other practice location 3

9805 Double R Blvd
Reno, NV 89521-6026
Phone (833) 351-8255

Other identifiers 1

IdentifierTypeStateIssuer
354831505MedicaidTX

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160122001892 TX Practitioner - Nurse Practitioner 8426351594 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Beacon Behavioral of Texas PAGroup PAC ID 3678626256, 55 clinicians

Practice addresses (Care Compare)

22 Prestige Cir
Suite 200
Allen, TX 75002-3441
Phone (214) 383-3200

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Spangler Medical Enterprises PA CurrentSince Sep 13, 2015 Accepting new patients
Mynd-Sync Psychiatry PLLC Psychiatric/Mental Health CurrentSince Oct 28, 2024 Accepting new patients
Beacon Behavioral of Texas PA CurrentSince May 1, 2025 Accepting new patients

Locations

22 Prestige Cir
Ste 200
Allen, TX 75002
Phone (214) 383-3200

5959 West Loop S
Ste 600
Bellaire, TX 77401
Phone (713) 669-0303

6575 West Loop S
#522
Bellaire, TX 77401
Phone (346) 241-7744

6575 West Loop S
Ste 500
Bellaire, TX 77401
Phone (713) 560-2369

6575 West Loop S
Ste 522
Bellaire, TX 77401

646 FM 517 Rd W
Dickinson, TX 77539
Phone (281) 309-9001

550 Westcott St
Ste 520
Houston, TX 77007
Phone (713) 864-6694

1501 N Amburn Rd
Ste 9
Texas City, TX 77591
Phone (281) 620-4902

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1440979200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1782172800000",
    "number": "1962879460",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4618 CREEKBEND DR",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770355016",
            "telephone_number": "832-529-8336"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "109 W 27TH ST RM 5S",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100016208",
            "telephone_number": "833-351-8255"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "950 W Bannock St",
            "address_purpose": "LOCATION",
            "city": "Boise",
            "state": "ID",
            "postal_code": "837025999",
            "country_code": "US",
            "telephone_number": "833-351-8255",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "10 W Broadway",
            "address_purpose": "LOCATION",
            "city": "Salt Lake City",
            "state": "UT",
            "postal_code": "841012002",
            "country_code": "US",
            "telephone_number": "833-351-8255",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "9805 Double R Blvd",
            "address_purpose": "LOCATION",
            "city": "Reno",
            "state": "NV",
            "postal_code": "895216026",
            "country_code": "US",
            "telephone_number": "833-351-8255",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FEDAK",
        "first_name": "SARAH",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-08-31",
        "last_updated": "2026-06-23",
        "certification_date": "2026-06-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "NY",
            "license": "403369",
            "primary": true
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "NV",
            "license": "832571",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "TX",
            "license": "AP128646",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "354831505",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

Verify at the official NPI Registry.