Sara Eagan, PHD

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

PY60711398 Issued in WA

Practice address

2470 Westlake Ave N Ste 102
Seattle, WA 98109

Phone

(206) 257-1861

NPI assigned

Mar 8, 2016

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Opted out of Medicare

Yes, effective Jan 1, 2019 through Jan 1, 2027

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

State licenses

Practice roles

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.

• Rehabilitation Institute of Washington PLLC

  • Physical Therapist
  • Seattle, WA
  • NPI 1457433104
  NPD (past)

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

{
    "created_epoch": "1457395200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1535328000000",
    "number": "1982065611",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2470 WESTLAKE AVE N STE 102",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981092282",
            "telephone_number": "206-257-1861"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2470 WESTLAKE AVE N STE 102",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "98109",
            "telephone_number": "206-257-1861"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "415 1st Ave N Ste 200",
            "address_purpose": "LOCATION",
            "city": "Seattle",
            "state": "WA",
            "postal_code": "981094765",
            "country_code": "US",
            "telephone_number": "206-859-5030",
            "fax_number": "206-859-5031",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "710 S Broadway",
            "address_2": "Suite 300",
            "address_purpose": "LOCATION",
            "city": "Walnut Creek",
            "state": "CA",
            "postal_code": "945965294",
            "country_code": "US",
            "telephone_number": "925-295-4666",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "415 1st Ave N Ste 200",
            "address_purpose": "LOCATION",
            "city": "Seattle",
            "state": "WA",
            "postal_code": "981094765",
            "country_code": "US",
            "telephone_number": "206-859-5030",
            "fax_number": "206-859-5031",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "EAGAN",
        "first_name": "SARA",
        "credential": "PHD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-03-08",
        "last_updated": "2018-08-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "CA",
            "license": "PSY27734",
            "primary": false
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "WA",
            "license": "PY60711398",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• E2 Medical Group PLLC
• Anne Marie Eacker
• Faith Sarah-Clare Eades
• Tanya Lyn Eadie, PH.D., CCC-SLP
• Jenna Eady, LMHCA
• Meghan Kathleen Eagen-Torkko, CNM
• Phillip Sean Eagon
• Kelly Eames, CDP
• Melissa E. Earl-Patopea, OTR/L
• Caryn P Earl, LCPO

• Clinical Psychologist in Seattle, WA
• Providers in Seattle, WA by specialty
• Clinical Psychologist in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 27, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.