DR. SARA BOURNE LACY (NPI# 1619341468) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1619341468 |
| Entity Type | Individual |
| Full Name | DR. SARA BOURNE LACY |
| Credential | PSY.D. |
| Practice Address |
420 N James Rd Columbus OH 43219-1834 |
| Practice Telephone | 6142575659 |
| Mailing Telephone | 6142575659 |
| Enumeration Date | 2015-11-17 |
| Last Update Date | 2016-10-14 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 103T00000X | Psychologist | Behavioral Health & Social Service Providers | ||
| Y | 103TC0700X |
Psychologist Specialization: Clinical |
7380 | OH | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427533900 | Sara Lacy | Occupational Therapist | 731 Leighton Ave, Anniston, AL 36207-5761 | 2018-10-01 |
| Street Address |
420 N JAMES RD |
| City | COLUMBUS |
| State | OH |
| Zip Code | 43219-1834 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689677726 | John Robert Raabe | Internal Medicine | 420 N James Rd, Columbus, OH 43219-1834 | 2005-05-23 |
| 1720692742 | Charles Allen Pedigo | Respiratory Therapist, Registered | 420 N James Rd, Columbus, OH 43219-1834 | 2020-09-08 |
| 1467070292 | Katelyn Fox | Social Worker | 420 N James Rd, Columbus, OH 43219-1834 | 2020-07-08 |
| 1841817244 | Hannah Elise Magas | Pharmacist | 420 N James Rd, Columbus, OH 43219-1834 | 2020-07-01 |
| 1649897042 | Katie Xu | Pharmacist | 420 N James Rd, Columbus, OH 43219-1834 | 2020-07-01 |
| 1770108409 | Karina Yvette Miller | Optometrist | 420 N James Rd, Columbus, OH 43219-1834 | 2020-06-09 |
| 1619591500 | Jessica Ann Liszka | Pharmacist | 420 N James Rd, Columbus, OH 43219-1834 | 2020-06-05 |
| 1275156648 | Caitlin J Talcott | Speech-Language Pathologist | 420 N James Rd, Columbus, OH 43219-1834 | 2020-05-20 |
| 1336761162 | Brett Bowers | Optometrist | 420 N James Rd, Columbus, OH 43219-1834 | 2020-05-14 |
| 1659993541 | Steve Murimi Mathenge Njeru | Optometrist | 420 N James Rd, Columbus, OH 43219-1834 | 2020-05-13 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003430844 | Pdq Transportation Inc | Secured Medical Transport (VAN) | 1640 E 5th Ave, Columbus, OH 43219 | 2020-06-06 |
| 1366066599 | Urban Limousine LLC | Secured Medical Transport (VAN) | 1640 E. 5th Ave, Columbus, OH 43219 | 2020-06-03 |
| 1841757879 | Camille Cook | Nurse Practitioner | 4200 Regent St. Suite 200, Columbus, OH 43219 | 2019-02-26 |
| 1164904595 | Vida Yeboah | Registered Nurse | 2320 Doneen Dr, Columbus, OH 43219 | 2018-09-01 |
| 1407373129 | Chevon Marie Wiseman | Nurse's Aide | 2835 Jared Pl, Columbus, OH 43219 | 2017-08-23 |
| 1952826737 | Hilary Schadle Demostenes | Social Worker | 2780 Airport Dr, Suite 100 - Billing/credentialing Dept., Columbus, OH 43219 | 2017-08-14 |
| 1851833800 | Amanda Yahn | Student in an Organized Health Care Education/Training Program | 2469 Stelzer Road, Bradford School, Columbus, OH 43219 | 2016-11-08 |
| 1215312939 | Taylor Weary | Student in an Organized Health Care Education/Training Program | 2649 Stelzer Rd, Columbus, OH 43219 | 2015-07-23 |
| 1568846715 | Brenton Semplak | Student in an Organized Health Care Education/Training Program | 2469 Stelzer Rd., Columbus, OH 43219 | 2015-07-17 |
| 1811384746 | Visionworks, Inc | Eyewear Supplier (Equipment, not the service) | 4142 Seward Street, Suite F105, Columbus, OH 43219 | 2015-04-17 |
| Find all providers in zip 43219 | ||||
| Taxonomy Code | 103TC0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Clinical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285245522 | Epiphany Psychotherapy & Consultation, LLC | Psychologist | 341 S 3rd St Ste 100-344, Columbus, OH 43215-5463 | 2020-08-11 |
| 1275184723 | Reset Button Counseling LLC | Psychologist | 4041 N High St Ste 300l, Columbus, OH 43214-3200 | 2019-09-26 |
| 1376021022 | Deloveh Psychological Services, LLC | Psychologist | 4041 N High St Ste 300f, Columbus, OH 43214-3200 | 2018-08-04 |
| 1235636697 | Lisa Christian | Psychologist | 460 Medical Center Dr Rm 112, Columbus, OH 43210-1229 | 2018-04-11 |
| 1093226581 | Amanda Conn | Psychologist | 454 E Main St Ste 240, Columbus, OH 43215-5380 | 2017-10-24 |
| 1144749441 | Chelsea Kane | Psychologist | 480 Medical Center Dr Rm 2145, Columbus, OH 43210-1229 | 2017-09-18 |
| 1346769445 | Karla L Delcour | Psychologist | 2200 W. Broad Street, Columbus, OH 43223 | 2017-09-11 |
| 1477003143 | Bethel Olentangy Psychological Services | Psychologist | 4949 Olentangy River Road, Columbus, OH 43214 | 2016-10-06 |
| 1417302209 | Kristen Hurley | Psychologist | 2675 Fox Pointe Dr Ste A, Columbus, IN 47203-3391 | 2016-04-28 |
| 1699135392 | Krystal Marie Hernandez-kane | Psychologist | 620 E Broad St, Columbus, OH 43215-4037 | 2016-02-24 |
| Find all providers in COLUMBUS | ||||
Please comment or provide details below to improve the information on DR. SARA BOURNE LACY.
| 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.