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SARA NICOLE RESCH PHD
NPI 1114437241
Clinical Neuropsychologist in Port Jefferson, NY

Active since October 03, 2017PECOS EnrolledAccepts Medicare Assignment
200 BELLE TERRE RD, PORT JEFFERSON, NY 11777(631) 474-6300 Get Directions Write a Review

NPPES record last updated: May 19, 2023. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Sara Nicole Resch Phd NPPES

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

SARA NICOLE RESCH PHD (NPI 1114437241) is an individual clinical neuropsychologist in Port Jefferson, New York, licensed in New York (022165) and active in the NPI registry since October 2017. She is enrolled in Medicare PECOS and is a graduate of Other (2015).

NPPES Registry Identity

NPI1114437241
Entity TypeIndividualFemale
Primary Taxonomy103G00000X
Provider Legal NameSARA NICOLE RESCHCredential: PHD
Location Address200 BELLE TERRE RDPort Jefferson, NY 11777-1928
Mailing Address200 Belle Terre RdPort Jefferson, NY 11777-1968 · (631) 474-6300 · Fax (631) 465-3950
Phone(631) 474-6300
Sole ProprietorYes
Medical School CMSOtherGraduated 2015
Enumeration DateOctober 3, 2017
Last NPPES UpdateMay 19, 2023
NPPES CertifiedMay 19, 2023
✔ NPI 1114437241 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinical NeuropsychologistBehavioral Health & Social Service Providers
Taxonomy Code103G00000X
License✔ Licensed in NY · 022165
Definition
A clinical psychologist who applies principles of assessment and intervention based upon the scientific study of human behavior as it relates to normal and abnormal functioning of the central nervous system. The specialty is dedicated to enhancing the understanding of brain-behavior relationships and the application of such knowledge to human problems.
200 BELLE TERRE RD, Port Jefferson, NY 11777
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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

Sara Nicole Resch 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 ID7214283001
PECOS Enrollment IDI20180710000483
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 Reassignments

2

Medicare enrollment records show Sara Resch reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

St. Charles Hospital Corp.
Same address
General Acute Care Hospital
200 BELLE TERRE RD
Port Jefferson, NY 11777
  • Reassigned Medicare billing, New York enrollment
  • 210 clinicians in this Medicare group
NPI 1497765630 (631) 474-6000
Good Samaritan Hospital Medical Center
18 mi
Medical Specialty
15 PARK AVE
Bay Shore, NY 11706
  • Reassigned Medicare billing, New York enrollment
  • 395 clinicians in this Medicare group
NPI 1275820961 (631) 617-5250

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

Other Providers at the Same Location NPPES 20

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

ANTHONY BRIAN KWAN MD
Emergency Medicine
200 BELLE TERRE RD
PORT JEFFERSON, NY 11777
Suffolk County (631) 474-6791
MR. TERENCE JOSEPH SCHULZ MA CCC-A
Audiologist-Hearing Aid Fitter
200 BELLE TERRE RD
PORT JEFFERSON, NY 11777
Suffolk County (631) 474-6326
MS. LAURA LYNN BECK PT
Physical Therapist
200 BELLE TERRE RD
PORT JEFFERSON, NY 11777
Suffolk County (631) 476-5606
RONNI MARANGONI
Occupational Therapist (Pediatrics)
200 BELLE TERRE RD
PORT JEFFERSON, NY 11777
Suffolk County (631) 474-6267
IGOR LIZOGUBENKO P.A.
Physician Assistant
200 BELLE TERRE RD
PORT JEFFERSON, NY 11777
Suffolk County (631) 474-6000
SANA AMBER HAMEEDI D.O
Pediatrics
200 BELLE TERRE RD
PORT JEFFERSON, NY 11777
Suffolk County (631) 474-6000
MR. MATTHEW DELPH PA
Physician Assistant
200 BELLE TERRE RD
PORT JEFFERSON, NY 11777
Suffolk County (631) 474-6000
DR. ROBERT KENNEDY AWADALLAH PHARM.D, ANP, MBA
Pharmacist
200 BELLE TERRE RD
PORT JEFFERSON, NY 11777
Suffolk County (631) 474-6000

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Sara Resch's NPI number?

The NPI number for Sara Resch is 1114437241. It was assigned to this individual provider in the NPPES registry on October 3, 2017.

Where is Sara Resch located?

Sara Resch practices at 200 Belle Terre Rd, Port Jefferson, NY 11777. The listed phone number is (631) 474-6300.

What is Sara Resch's specialty?

The primary specialty registered for this NPI is Clinical Neuropsychologist with taxonomy code 103G00000X.

Is Sara Resch enrolled in Medicare?

Yes. Sara Resch is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organizations bill Medicare for Sara Resch's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Sara Resch reassigns Medicare benefits to 2 organizations: St. Charles Hospital Corp. (Port Jefferson, NY) and Good Samaritan Hospital Medical Center (Bay Shore, NY). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Sara Resch's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Sara Resch was last updated on May 19, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.