Sara Cummings Bertoch, PHD
NPI 1033461611ActiveIndividual· Psychologist· Jacksonville, FL
Psychologist (PHD) in Jacksonville, Florida, licensed in FL, with an NPI issued in October 2012. Medicare paid $2,217 for services to 24 patients in 2024.
Overview
| NPI | 1033461611 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | PHD |
| Sole proprietor | Yes |
| NPI issued | Oct 8, 2012 |
| Last updated in NPPES | Jan 28, 2025 |
| Certified by provider | Jan 28, 2025 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Psychologist Primary | 103T00000X | PY9046 | FL |
| Psychologist, Clinical | 103TC0700X | PY9046 | FL |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 24 |
|---|---|
| Services billed | 26 across 4 procedure codes |
| Paid by Medicare | $2,217 |
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