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FREDERICK MARK SACKS, PH.D.
NPI 1295088078
Psychologist - Clinical in Tipp City, OH

Active since October 18, 2012
1485 COMMERCE PARK DR, TIPP CITY, OH 45371(937) 667-5126(937) 667-7583 Get Directions Write a Review

NPPES record last updated: October 18, 2012. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Frederick Mark Sacks, Ph.d. NPPES

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

FREDERICK MARK SACKS, PH.D. (NPI 1295088078) is a healthcare organization registered as a clinical in Tipp City, Ohio and active in the NPI registry since October 2012. The organization lists Fred M Sacks, Owner / Psychologist, as its authorized official.

NPPES Registry Identity

NPI1295088078
Entity TypeOrganization
Primary Taxonomy103TC0700X
Legal Business NameFRED M. SACKS, PH.D. & ASSOCIATES
Location Address1485 COMMERCE PARK DRTipp City, OH 45371-2883
Mailing Address1485 Commerce Park DrTipp City, OH 45371-2883 · (937) 667-5126 · Fax (937) 667-7583
Phone(937) 667-5126
Fax(937) 667-7583
Organization SubpartNo
Authorized OfficialFred M SacksOwner / Psychologist · (937) 667-5126
Enumeration DateOctober 18, 2012
✔ NPI 1295088078 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 OH · 3768
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.
1485 COMMERCE PARK DR, Tipp City, OH 45371
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Other Names 1

Other NameFrederick Mark Sacks, Ph.d.

Other Identifiers 3

Medicare PINCP08991OH
Other12836552300OH · Bwc
Medicaid0654635OH

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES

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

JENNIFER D MYERS LMT
Massage Therapist
1485 COMMERCE PARK DR, SUITE B
TIPP CITY, OH 45371
Miami County (937) 689-3971

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 Fred M. Sacks, Ph.D. & Associates's NPI number?

The NPI number for Fred M. Sacks, Ph.D. & Associates is 1295088078. It was assigned to this organization in the NPPES registry on October 18, 2012. The provider is also known as Frederick Mark Sacks, Ph.D..

Where is Fred M. Sacks, Ph.D. & Associates located?

Fred M. Sacks, Ph.D. & Associates is located at 1485 Commerce Park Dr, Tipp City, OH 45371. The listed phone number is (937) 667-5126.

What is Fred M. Sacks, Ph.D. & Associates's specialty?

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

When was this NPI record last updated?

The NPPES record for Fred M. Sacks, Ph.D. & Associates was last updated on October 18, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.