MIRA SARA SVATOVIC
NPI 1952559577
Psychologist - Clinical in Ithaca, NY

Active since September 08, 2008Opted out of Medicare · through Jun 25, 2027
127 W STATE ST, ITHACA, NY 14850(607) 273-7494 Get Directions Write a Review

NPPES record last updated: July 31, 2012. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Mira Sara Svatovic NPPES

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

MIRA SARA SVATOVIC (NPI 1952559577) is an individual clinical provider in Ithaca, New York, licensed in New York (019546) and active in the NPI registry since September 2008. She has opted out of Medicare through June 25, 2027.

NPPES Registry Identity

NPI1952559577
Entity TypeIndividualFemale
Primary Taxonomy103TC0700X
Provider Legal NameMIRA SARA SVATOVIC
Location Address127 W STATE STIthaca, NY 14850-5474
Mailing Address127 West State StreetNew York, NY 14850 · (607) 273-7494
Sole ProprietorYes
Enumeration DateSeptember 8, 2008
Last NPPES UpdateJuly 31, 2012
NPI 1952559577 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 NY · 019546
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.

127 W STATE ST, Ithaca, NY 14850

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Opted out of Medicare

Mira Sara Svatovic 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 25, 2025 through June 25, 2027.

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

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.

Social Worker (Clinical)
127 W STATE ST
ITHACA, NY 14850
Psychologist (Clinical)
127 W STATE ST
ITHACA, NY 14850
Social Worker (Clinical)
127 W STATE ST
ITHACA, NY 14850
Social Worker (Clinical)
127 W STATE ST
ITHACA, NY 14850
Social Worker
127 W STATE ST
ITHACA, NY 14850
Social Worker
127 W STATE ST
ITHACA, NY 14850
Social Worker (Clinical)
127 W STATE ST
ITHACA, NY 14850
Social Worker
127 W STATE ST
ITHACA, NY 14850

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1952559577, enumerated as an "individual" on September 08, 2008.

The provider is located at 127 W STATE ST ITHACA, NY 14850 and the phone number is (607) 273-7494.

Psychologist with taxonomy code 103TC0700X and a focus in Clinical.