DR. ENOCH SACKEY PHD
NPI 1043088925
Psychologist - Clinical in Las Vegas, NV

Q: What is Enoch Sackey's NPI number?

The NPI number for Enoch Sackey is 1043088925. It was assigned to this individual provider in the NPPES registry on December 19, 2023.

Q: What is Enoch Sackey's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Clinical, with taxonomy code 103TC0700X.

Q: When was this NPI record last updated?

The NPPES record for Enoch Sackey was last updated on December 19, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since December 19, 2023PECOS EnrolledAccepts Medicare Assignment

2320 PASEO DEL PRADO STE B208, LAS VEGAS, NV 89102(702) 685-0877(702) 749-5922 Get Directions Write a Review

NPPES record last updated: December 19, 2023. Verified against the NPPES registry weekly; last sync: October 25, 2026.

On this page

About Dr. Enoch Sackey Phd NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. ENOCH SACKEY PHD (NPI 1043088925) is an individual clinical provider in Las Vegas, Nevada, licensed in Washington (PY61421638) and active in the NPI registry since December 2023. He is enrolled in Medicare PECOS, is affiliated with Wellstar Kennestone Regional Medical Center, and is a graduate of Other (2022).

NPPES Registry Identity

NPI1043088925

Entity TypeIndividualMale

Primary Taxonomy103TC0700X

Provider Legal NameDR. ENOCH SACKEYCredential: PHD

Location Address2320 PASEO DEL PRADO STE B208Las Vegas, NV 89102-4332

Mailing Address2510 E Sunset Rd # 5-823Las Vegas, NV 89120-3511 · (702) 685-0877 · Fax (702) 749-5922

Phone(702) 685-0877

Fax(702) 749-5922

Sole ProprietorNo

Medical School CMSOtherGraduated 2022

Enumeration DateDecember 19, 2023

NPPES CertifiedDecember 19, 2023

✔ NPI 1043088925 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychologist · ClinicalBehavioral Health & Social Service Providers

Taxonomy Code103TC0700X

License✔ Licensed in WA · PY61421638

Definition

A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in breadth -- one that is broadly inclusive of severe psychopathology -- and marked by comprehensiveness and integration of knowledge and skill from a broad array of disciplines within and outside of psychology proper. The scope of clinical psychology encompasses all ages, multiple diversities and varied systems.

2320 PASEO DEL PRADO STE B208, Las Vegas, NV 89102

Open in Google Maps ↗

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Enoch Sackey Phd is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID7113363441

PECOS Enrollment IDI20250522002883

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignment

Medicare enrollment records show Enoch Sackey reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Wellstar Medical Group, LLC

1,718 mi

Family Medicine

12 MEDICAL DR NE
Cartersville, GA 30121

Reassigned Medicare billing, Georgia enrollment
3,885 clinicians in this Medicare group

NPI 1588059653 (770) 386-1000

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Wellstar Kennestone Regional Medical Center

Acute Care Hospitals · Marietta, GA

4/5 CMS rating

OwnershipGovernment - Hospital District or Authority

CMS Certification Number110035

Location677 Church StreetMarietta, GA 30060 · Cobb County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 89102 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$173.24 typical visit price

range $57.07 – $173.24

Typical copayment $43.31 (range $14.26 – $43.31)

Most-billed visit code 99205

Established Patient

$100.60 typical visit price

range $18.27 – $140.96

Typical copayment $25.15 (range $4.56 – $35.24)

Most-billed visit code 99214

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 8

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

THOMAS DAY CPC INTERN

Counselor (Mental Health)