SARAH BACKE (NPI# 1568912525) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1568912525 |
| Entity Type | Individual |
| Full Name | SARAH BACKE |
| Credential | PH.D. |
| Practice Address |
76 Bedford St Ste 12 Lexington MA 02420-4640 |
| Practice Telephone | 7818616655 |
| Mailing Telephone | 7818616655 |
| Enumeration Date | 2016-10-13 |
| Last Update Date | 2016-10-13 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 103G00000X | Clinical Neuropsychologist | 10457 | MA | Behavioral Health & Social Service Providers |
| Y | 103T00000X | Psychologist | 10457 | MA | Behavioral Health & Social Service Providers |
| Street Address |
76 BEDFORD ST STE 12 |
| City | LEXINGTON |
| State | MA |
| Zip Code | 02420-4640 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851317291 | Janine Korahais Stasior | Clinical Neuropsychologist | 76 Bedford St Ste 12, Lexington, MA 02420-4640 | 2006-07-15 |
| 1740765254 | Nancy Page Kohlhepp | Social Worker | 76 Bedford St Ste 12, Lexington, MA 02420-4640 | 2018-10-01 |
| 1275901522 | Marlene Major | Psychologist | 76 Bedford St Ste 12, Lexington, MA 02420-4640 | 2015-09-03 |
| 1629208202 | Jessica Wexler | Psychologist | 76 Bedford St Ste 12, Lexington, MA 02420-4640 | 2009-07-17 |
| 1750537403 | Stephanie M Power | Psychologist | 76 Bedford St Ste 12, Lexington, MA 02420-4640 | 2008-08-13 |
| 1023202389 | Child Development Network, LLC | Speech-Language Pathologist | 76 Bedford St Ste 12, Lexington, MA 02420-4640 | 2007-08-30 |
| 1902952658 | Child Development Network | Clinical Neuropsychologist | 76 Bedford St Ste 12, Lexington, MA 02420-4640 | 2007-01-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568958643 | Kristen Gargiulo | Physical Therapist | 57 Bedord Street, Ste 202, Lexington, MA 02420 | 2018-07-02 |
| 1902311616 | Lindsey Nicole Wilcox | Physical Therapist | 57 Bedford St Ste 202, Lexington, MA 02420 | 2017-12-05 |
| 1629590443 | Jeffrey Phillip Winer | Psychologist | 57 Bedford St Ste 230, Lexington, MA 02420 | 2017-07-13 |
| 1235678178 | Rebecca Munini | Counselor | 76 Bedford Street, Suite 12, Office 1, Lexington, MA 02420 | 2017-02-13 |
| 1700332376 | Aretha Cohen | Speech-Language Pathologist | 840 Emerson Gardens Road, Excel Center, Lexington, MA 02420 | 2016-09-01 |
| 1710387915 | Niravkumar Patel | Internal Medicine | 4 Hadley Rd, Lexington, MA 02420 | 2014-08-26 |
| 1316368749 | Triad Adolescent Services | Counselor | 363 Mass Ave, Suite 204, Lexington, MA 02420 | 2014-01-03 |
| 1447698063 | Emily Flier Matteodo | Psychiatry & Neurology | 35 Bedford Street, Suite #6, Lexington, MA 02420 | 2013-06-05 |
| 1780941914 | Varun Kapur | Surgery | 33 York St, Lexington, MA 02420 | 2012-04-12 |
| 1992091433 | Karolyn Mary Franz | Acupuncturist | 238 Bedford St Ste 5, Lexington, MA 02420 | 2011-06-23 |
| Find all providers in zip 02420 | ||||
| Taxonomy Code | 103T00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| A psychologist is an individual who is licensed to practice psychology which is defined as the observation, description, evaluation, interpretation, and modification of human behavior by the application of psychological principles, methods, and procedures, for the purpose of preventing or eliminating symptomatic, maladaptive, or undesired behavior and of enhancing interpersonal relationships, work and life adjustment, personal effectiveness, behavioral health, and mental health. The practice of psychology includes, but is not limited to, psychological testing and the evaluation or assessment of personal characteristics, such as intelligence, personality, abilities, interests, aptitudes, and neuropsychological functioning; counseling, psychoanalysis, psychotherapy, hypnosis, biofeedback, and behavior analysis and therapy; diagnosis and treatment of mental and emotional disorder or disability, alcoholism and substance abuse, disorders of habit or conduct, as well as of the psychological aspects of physical illness, accident, injury, or disability; and psycheducational evaluation, therapy, remediation, and consultation. Psychological services may be rendered to individuals, families, groups and the public. |
| Notes: Source: American Psychological Association [1/1/2007: modified definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831714138 | Theresa Marie Nowak | Psychologist | 233 Larch Ln, Lexington, KY 40511-2006 | 2020-06-11 |
| 1801430525 | Higher Horizons Pllc | Psychologist | 1500 Leestown Rd Ste 332, Lexington, KY 40511-1981 | 2019-11-06 |
| 1093209371 | Linda Kilner | Psychologist | 855 Emerson Gardens Rd, Lexington, MA 02420-2614 | 2018-06-19 |
| 1013409705 | Marianne Daisy Farkas | Psychologist | 18 Kendall Rd, Lexington, MA 02421-7143 | 2018-05-30 |
| 1255822243 | Judith Teicholz | Psychologist | 34 Barberry Rd, Lexington, MA 02421-8032 | 2018-05-24 |
| 1780184283 | Christina Marie Boelter Jordan | Psychologist | University of Kentucky Counseling Center Frazee Hall, Lexington, KY 40506-0001 | 2018-02-20 |
| 1245765254 | David Hague | Psychologist | 334 Glendover Rd, Lexington, KY 40503-2011 | 2017-04-27 |
| 1851776280 | Psychological Services and Support of The Bluegrass | Psychologist | 151 Prosperous Pl Ste 1b, Lexington, KY 40509-2180 | 2015-07-28 |
| 1144636150 | Judith Campbell | Psychologist | 625 Sayre Ave, Lexington, KY 40508-2317 | 2014-07-10 |
| 1841618402 | Tabitha Burkhart-wilson | Psychologist | 3125 Timberneck Cv, Lexington, KY 40509-8539 | 2014-04-01 |
| Find all providers in LEXINGTON | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.