DR. SANDRA LEE ACKERMAN PSY.D
NPI 1720864457
Psychologist in Manchester, NH

Active since September 07, 2023PECOS Enrolled
150 MYRTLE ST, MANCHESTER, NH 03104(603) 213-0700(603) 386-7007 Get Directions Write a Review

NPPES record last updated: September 7, 2023. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Dr. Sandra Lee Ackerman Psy.d NPPES

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

DR. SANDRA LEE ACKERMAN PSY.D (NPI 1720864457) is an individual psychologist in Manchester, New Hampshire, licensed in New Hampshire (1668) and active in the NPI registry since September 2023. She is enrolled in Medicare PECOS and is a graduate of Other (2021).

NPPES Registry Identity

NPI1720864457
Entity TypeIndividualFemale
Primary Taxonomy103T00000X
Provider Legal NameDR. SANDRA LEE ACKERMANCredential: PSY.D
Location Address150 MYRTLE STManchester, NH 03104-6025
Mailing Address1 Sarah Paul HlMadbury, NH 03823-7616 · (603) 553-1238
Fax(603) 386-7007
Sole ProprietorYes
Medical School CMSOtherGraduated 2021
Enumeration DateSeptember 7, 2023
NPPES CertifiedSeptember 7, 2023
✔ NPI 1720864457 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychologistBehavioral Health & Social Service Providers
Taxonomy Code103T00000X
License✔ Licensed in NH · 1668
Definition
A psychologist is an individual who is licensed to practice psychology which is defined as the observation, description, evaluation, interpretation, and modification of human behavior by the application of psychological principles, methods, and procedures, for the purpose of preventing or eliminating symptomatic, maladaptive, or undesired behavior and of enhancing interpersonal relationships, work and life adjustment, personal effectiveness, behavioral health, and mental health. The practice of psychology includes, but is not limited to, psychological testing and the evaluation or assessment of personal characteristics, such as intelligence, personality, abilities, interests, aptitudes, and neuropsychological functioning; counseling, psychoanalysis, psychotherapy, hypnosis, biofeedback, and behavior analysis and therapy; diagnosis and treatment of mental and emotional disorder or disability, alcoholism and substance abuse, disorders of habit or conduct, as well as of the psychological aspects of physical illness, accident, injury, or disability; and psycheducational evaluation, therapy, remediation, and consultation. Psychological services may be rendered to individuals, families, groups and the public.
150 MYRTLE ST, Manchester, NH 03104

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Accepted Insurance

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Sandra Lee Ackerman Psy.d is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID6103385802
PECOS Enrollment IDI20260824002267
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 Sandra Ackerman reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Psychologist
65 MIDDLE ST
Manchester, NH 03101
  • Reassigned Medicare billing, New Hampshire enrollment
  • 2 clinicians in this Medicare group

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 5

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

Psychologist
150 MYRTLE ST
MANCHESTER, NH 03104
Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities
150 MYRTLE ST
MANCHESTER, NH 03104
Counselor (Mental Health)
150 MYRTLE ST
MANCHESTER, NH 03104
Counselor (Mental Health)
150 MYRTLE ST
MANCHESTER, NH 03104
Counselor (Mental Health)
150 MYRTLE ST
MANCHESTER, NH 03104

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 Sandra Ackerman's NPI number?

The NPI number for Sandra Ackerman is 1720864457. It was assigned to this individual provider in the NPPES registry on September 7, 2023.

Where is Sandra Ackerman located?

Sandra Ackerman practices at 150 Myrtle St, Manchester, NH 03104. The listed phone number is (603) 213-0700.

What is Sandra Ackerman's specialty?

The primary specialty registered for this NPI is Psychologist with taxonomy code 103T00000X.

Is Sandra Ackerman enrolled in Medicare?

Yes. Sandra Ackerman is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Sandra Ackerman's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Sandra Ackerman reassigns Medicare benefits to Katalyst Psychological Family Center (Manchester, NH). 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 Sandra Ackerman's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Sandra Ackerman accept?

Health plans from Ambetter from NH Healthy Families, Anthem Blue Cross and Blue Shield and WellSense Health Plan list Sandra Ackerman 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 Sandra Ackerman was last updated on September 7, 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.