SARA MEDINA-DEVILLIERS PHD
NPI 1174267066
Psychologist - Clinical in Boston, MA

Q: What is Sara Medina-devilliers's NPI number?

The NPI number for Sara Medina-devilliers is 1174267066. It was assigned to this individual provider in the NPPES registry on April 26, 2022.

Q: What is Sara Medina-devilliers's specialty?

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

Active since April 26, 2022PECOS Enrolled

300 LONGWOOD AVE, BOSTON, MA 02115(617) 355-2200 Get Directions Write a Review

NPPES record last updated: November 9, 2022. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Nov 9, 2022, Apr 26, 2022 (2 updates tracked since 2022).

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About Sara Medina-devilliers Phd NPPES

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

SARA MEDINA-DEVILLIERS PHD (NPI 1174267066) is an individual clinical provider in Boston, Massachusetts, licensed in Massachusetts (11952) and active in the NPI registry since April 2022. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1174267066

Entity TypeIndividualFemale

Primary Taxonomy103TC0700X

Provider Legal NameSARA MEDINA-DEVILLIERSCredential: PHD

Location Address300 LONGWOOD AVEBoston, MA 02115-5724

Mailing Address300 Longwood AveBoston, MA 02115-5724 · (540) 207-4040

Phone(617) 355-2200

Sole ProprietorNo

Enumeration DateApril 26, 2022

Last NPPES UpdateNovember 9, 20222 updates tracked since enumeration

NPPES CertifiedNovember 9, 2022

✔ NPI 1174267066 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 MA · 11952

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.

300 LONGWOOD AVE, Boston, MA 02115

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, Harvard Pilgrim Health Care, Taro Health.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Sara Medina-devilliers Phd is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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 Sara Medina-devilliers reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Richmond Psychiatry Group Practice

Same address

Child & Adolescent Psychiatry

300 LONGWOOD AVE
Boston, MA 02115

Reassigned Medicare billing, Massachusetts enrollment
86 clinicians in this Medicare group

NPI 1629148036 (617) 355-4831

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

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 02115 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

$189.86 typical visit price

range $63.72 – $189.86

Typical copayment $47.46 (range $15.93 – $47.46)

Most-billed visit code 99205

Established Patient

$111.18 typical visit price

range $21.07 – $155.29

Typical copayment $27.79 (range $5.26 – $38.82)

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 20

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

JULIE ANN HANSEN LCSW

Social Worker (Clinical)

300 LONGWOOD AVE
BOSTON, MA 02115

Suffolk County (857) 218-4309

MS. ANNA ROGLIERI

Nurse Practitioner (Psychiatric/Mental Health)

300 LONGWOOD AVE
BOSTON, MA 02115

Suffolk County (617) 355-6000

STEPHEN G. FLYNN M.D.

Anesthesiology (Pediatric Anesthesiology)

300 LONGWOOD AVE
BOSTON, MA 02115

Suffolk County (617) 355-6000

MRS. LAUREN ASHLEY SHARIS P.T., D.P.T

Physical Therapist

300 LONGWOOD AVE
BOSTON, MA 02115

Suffolk County (617) 355-7216

MS. SOYUN KWAN LICSW

Social Worker (Clinical)

300 LONGWOOD AVE, CHILDREN'S HOSPITAL BOSTON
BOSTON, MA 02115

Suffolk County (617) 355-0567

PUJA BANKA M.D.

Pediatrics

300 LONGWOOD AVE, BADER 203
BOSTON, MA 02115

Suffolk County (617) 355-6363

MR. COURTNEY SULLIVAN FRATTO CPNP

Nurse Practitioner (Pediatrics)

300 LONGWOOD AVE, HUNNEWELL BUILDING 322
BOSTON, MA 02115

Suffolk County (857) 218-4085

DR. ELIZABETH S TAGLAUER M.D., PH.D.

Pediatrics (Neonatal-Perinatal Medicine)

300 LONGWOOD AVE
BOSTON, MA 02115

Suffolk County (617) 355-6000

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 Medina-devilliers's NPI number?

The NPI number for Sara Medina-devilliers is 1174267066. It was assigned to this individual provider in the NPPES registry on April 26, 2022.

Where is Sara Medina-devilliers located?

Sara Medina-devilliers practices at 300 Longwood Ave, Boston, MA 02115. The listed phone number is (617) 355-2200.

What is Sara Medina-devilliers's specialty?

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

Is Sara Medina-devilliers enrolled in Medicare?

Yes. Sara Medina-devilliers is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Sara Medina-devilliers's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Sara Medina-devilliers reassigns Medicare benefits to Richmond Psychiatry Group Practice (Boston, MA). The 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 Medina-devilliers's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Sara Medina-devilliers accept?

Health plans from Anthem Blue Cross and Blue Shield, Harvard Pilgrim Health Care and Taro Health list Sara Medina-devilliers as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Sara Medina-devilliers was last updated on November 9, 2022. 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.