Healthcare Provider Details

I. General information

NPI: 1306832324
Provider Name (Legal Business Name): COLLEEN E SARI MD
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

Provider Other Name: COLLEEN E. SMART

II. Dates (important events)

Enumeration Date: 09/26/2005
Last Update Date: 03/21/2022
Certification Date: 03/21/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

LATHAM CENTERS 1646 MAIN ST
BREWSTER MA
02631
US

IV. Provider business mailing address

26 SHAWME RD
SANDWICH MA
02563
US

V. Phone/Fax

Practice location:
  • Phone: 508-237-2110
  • Fax: 508-896-6782
Mailing address:
  • Phone: 412-512-0822
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code2084P0800X
TaxonomyPsychiatry Physician
License NumberMD058183L
License Number StatePA
# 2
Primary TaxonomyN
Taxonomy Code2084P0804X
TaxonomyChild & Adolescent Psychiatry Physician
License NumberMD058183L
License Number StatePA
# 3
Primary TaxonomyN
Taxonomy Code2084P0804X
TaxonomyChild & Adolescent Psychiatry Physician
License Number279422
License Number StateMA
# 4
Primary TaxonomyY
Taxonomy Code2084P0800X
TaxonomyPsychiatry Physician
License Number279422
License Number StateMA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: