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SARAH KERTZ PH.D.
NPI 1376917021
Psychologist - Clinical in Carbondale, IL

Active since November 18, 2015Opted out of Medicare · through Sep 25, 2027
625 WHAM DR, ROOM 141, CARBONDALE, IL 62901(618) 453-2361(618) 453-6130 Get Directions Write a Review

NPPES record last updated: June 16, 2016. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jun 16, 2016, Nov 18, 2015 (2 updates tracked since 2015).

About Sarah Kertz Ph.d. NPPES

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

SARAH KERTZ PH.D. (NPI 1376917021) is an individual clinical provider in Carbondale, Illinois, licensed in Illinois (071008598) and active in the NPI registry since November 2015. She has opted out of Medicare through September 25, 2027.

NPPES Registry Identity

NPI1376917021
Entity TypeIndividualFemale
Primary Taxonomy103TC0700X
Provider Legal NameSARAH KERTZCredential: PH.D.
Location Address625 WHAM DR, ROOM 141Carbondale, IL 62901-4313
Mailing Address625 Wham Dr, Room 141Carbondale, IL 62901-4313 · (618) 453-2361 · Fax (618) 453-6130
Phone(618) 453-2361
Fax(618) 453-6130
Sole ProprietorNo
Enumeration DateNovember 18, 2015
Last NPPES UpdateJune 16, 20162 updates tracked since enumeration
✔ NPI 1376917021 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 IL · 071008598
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.
625 WHAM DR, Carbondale, IL 62901
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

ⓘ

Opted out of Medicare

Sarah Kertz Ph.d. has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from September 25, 2025 through September 25, 2027.

Opt-Out Effective DateSeptember 25, 2025
Opt-Out In Effect ThroughSeptember 25, 2027Opt-out affidavits renew automatically every two years unless cancelled

Other Providers at the Same Location NPPES

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

CHAD DRAKE
Psychologist (Clinical)
625 WHAM DR, ROOM 141
CARBONDALE, IL 62901
Jackson County (618) 453-2361

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 Sarah Kertz's NPI number?

The NPI number for Sarah Kertz is 1376917021. It was assigned to this individual provider in the NPPES registry on November 18, 2015.

Where is Sarah Kertz located?

Sarah Kertz practices at 625 Wham Dr Room 141, Carbondale, IL 62901. The listed phone number is (618) 453-2361.

What is Sarah Kertz's specialty?

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

Is Sarah Kertz enrolled in Medicare?

No. Sarah Kertz has opted out of Medicare through September 25, 2027. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out.

When was this NPI record last updated?

The NPPES record for Sarah Kertz was last updated on June 16, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.