Provider Demographics
NPI:1649284274
Name:FERRIES, SARAH HUNTER (MD)
Entity type:Individual
Prefix:DR
First Name:SARAH
Middle Name:HUNTER
Last Name:FERRIES
Suffix:
Gender:F
Credentials:MD
Other - Prefix:DR
Other - First Name:SARAH
Other - Middle Name:MONTGOMERY
Other - Last Name:HUNTER
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:MD
Mailing Address - Street 1:607 CABOT WAY
Mailing Address - Street 2:
Mailing Address - City:NAPA
Mailing Address - State:CA
Mailing Address - Zip Code:94559-4731
Mailing Address - Country:US
Mailing Address - Phone:707-252-3130
Mailing Address - Fax:707-252-4066
Practice Address - Street 1:607 CABOT WAY
Practice Address - Street 2:
Practice Address - City:NAPA
Practice Address - State:CA
Practice Address - Zip Code:94559-4731
Practice Address - Country:US
Practice Address - Phone:707-252-3130
Practice Address - Fax:707-252-4066
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-28
Last Update Date:2018-03-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAG422922084P0804X, 2084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry
No2084P0804XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyChild & Adolescent Psychiatry
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA00G422920Medicaid
CAA48903Medicare UPIN
CA00G422920Medicare ID - Type Unspecified