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SARA DALE
NPI 1922490309
Psychologist - Clinical in Seattle, WA

Active since February 23, 2015Opted out of Medicare · through Jun 30, 2027
2120 1ST AVE N # 311, SEATTLE, WA 98109(206) 257-9471 Get Directions Write a Review

NPPES record last updated: December 29, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Sara Dale NPPES

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

SARA DALE (NPI 1922490309) is an individual clinical provider in Seattle, Washington, licensed in Washington (PY00003088) and active in the NPI registry since February 2015. She has opted out of Medicare through June 30, 2027.

NPPES Registry Identity

NPI1922490309
Entity TypeIndividualFemale
Primary Taxonomy103TC0700X
Provider Legal NameSARA DALE
Location Address2120 1ST AVE N # 311Seattle, WA 98109-2301
Mailing Address7330 21st Ave NwSeattle, WA 98117-5623 · (206) 257-9471
Phone(206) 257-9471
Sole ProprietorNo
Enumeration DateFebruary 23, 2015
Last NPPES UpdateDecember 29, 2021
NPPES CertifiedDecember 29, 2021
✔ NPI 1922490309 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 WA · PY00003088
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.
2120 1ST AVE N # 311, Seattle, WA 98109
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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

Sara Dale 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 June 30, 2025 through June 30, 2027.

Opt-Out Effective DateJune 30, 2025
Opt-Out In Effect ThroughJune 30, 2027Opt-out affidavits renew automatically every two years unless cancelled

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 Dale's NPI number?

The NPI number for Sara Dale is 1922490309. It was assigned to this individual provider in the NPPES registry on February 23, 2015.

Where is Sara Dale located?

Sara Dale practices at 2120 1st Ave N # 311, Seattle, WA 98109. The listed phone number is (206) 257-9471.

What is Sara Dale's specialty?

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

Is Sara Dale enrolled in Medicare?

No. Sara Dale has opted out of Medicare through June 30, 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 Sara Dale was last updated on December 29, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.