JEFFREY J. SAPYTA PHD
NPI 1750557583
Psychologist in Durham, NC
NPI Status: Active since May 01, 2008
- Individual
- Male
- Years of Experience 20
- Psychologist
- Accepts Insurance
- Accepts Medicare Approved Payment
- PECOS Enrolled
About JEFFREY SAPYTA
This page provides the complete NPI Profile along with additional information for Jeffrey Sapyta, a provider established in Durham, North Carolina with a medical specialization in Psychologist and more than 20 years of experience. The healthcare provider is registered in the NPI registry with number 1750557583 assigned on May 2008. The practitioner's primary taxonomy code is 103T00000X with license number 3467 (NC). The provider is registered as an individual and his NPI record was last updated 17 years ago.
- NPI
- 1750557583
- Provider Name
- JEFFREY J. SAPYTA PHD
- Gender
- Male
- Entity Type
- Individual
- Location Address
- 2100 ERWIN RD DURHAM, NC 27710
- Location Phone
- (919) 684-8111
- Mailing Address
- 4117 N ROXBORO ST SUITE100 DURHAM, NC 27704
- Mailing Phone
- (919) 684-8111
- Medical School Name
- OTHER
- Graduation Year
- 2006
- Is Sole Proprietor?
- No
- Enumeration Date
- 05-01-2008
- Last Update Date
- 05-01-2008
- Code Navigator
A psychologist like Jeffrey Sapyta studies cognitive, emotional, social processes and behavior by observing, interpreting, and recording how people relate to one another and to their environments. Psychologists gather information and evaluate behavior through controlled laboratory experiments, psychoanalysis, psychotherapy or through personality, performance, aptitude, or intelligence tests, and use this information when testing theories in their research or when treating patients.
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Psychologist
- Taxonomy Code
- 103T00000X
- Type
- Behavioral Health & Social Service Providers
- License No.
- 3467
- License State
- NC
- Taxonomy Description
- A psychologist is an individual who is licensed to practice psychology which is defined as the observation, description, evaluation, interpretation, and modification of human behavior by the application of psychological principles, methods, and procedures, for the purpose of preventing or eliminating symptomatic, maladaptive, or undesired behavior and of enhancing interpersonal relationships, work and life adjustment, personal effectiveness, behavioral health, and mental health. The practice of psychology includes, but is not limited to, psychological testing and the evaluation or assessment of personal characteristics, such as intelligence, personality, abilities, interests, aptitudes, and neuropsychological functioning; counseling, psychoanalysis, psychotherapy, hypnosis, biofeedback, and behavior analysis and therapy; diagnosis and treatment of mental and emotional disorder or disability, alcoholism and substance abuse, disorders of habit or conduct, as well as of the psychological aspects of physical illness, accident, injury, or disability; and psycheducational evaluation, therapy, remediation, and consultation. Psychological services may be rendered to individuals, families, groups and the public.
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
- Bronze 2 Advanced HSA: Aetna network + MinuteClinic + Virtual Primary Care - HMO
- Bronze 4 Advanced: $0 PCP + Aetna network + $0 MinuteClinic + $0 CVS Health Virtual Primary Care - HMO
- Bronze 4 Advanced: $0 PCP + Aetna network + $0 MinuteClinic + Adult Dental + Vision - HMO
- Bronze S: Aetna network + $0 MinuteClinic + $0 CVS Health Virtual Primary Care - HMO
- Gold 10 Advanced: $0 PCP + Aetna network + $0 MinuteClinic + $0 CVS Health Virtual Primary Care - HMO
- Gold 10 Advanced: $0 PCP + Aetna network + $0 MinuteClinic + Adult Dental + Vision - HMO
- Gold 3 Advanced: Aetna network + $0 MinuteClinic + $0 CVS Health Virtual Primary Care - HMO
- Gold 3 Advanced: Aetna network + $0 MinuteClinic + Adult Dental + Vision - HMO
- Gold S: Aetna network + $0 MinuteClinic + $0 CVS Health Virtual Primary Care - HMO
- Silver 10 Advanced: $0 PCP + Aetna network + $0 MinuteClinic + $0 CVS Health Virtual Primary Care - HMO
- Clear Silver - HMO
- Elite Bronze - HMO
- Elite Bronze + Vision + Adult Dental - HMO
- Elite Gold - HMO
- Elite Gold + Vision + Adult Dental - HMO
- Everyday Bronze - HMO
- Everyday Bronze + Vision + Adult Dental - HMO
- Everyday Gold - HMO
- Everyday Gold + Vision + Adult Dental - HMO
- Focused Silver - HMO
- Clear Silver with $0 Insulin Options - HMO
- Complete Gold - HMO
- Complete Gold + Vision + Adult Dental - HMO
- Complete Gold with Atrium Health - HMO
- Complete Gold with Atrium Health + Vision + Adult Dental - HMO
- Complete Silver with Atrium Health - HMO
- Complete Silver with Atrium Health + Vision + Adult Dental - HMO
- Elite Bronze - HMO
- Elite Bronze + Vision + Adult Dental - HMO
- Elite Bronze with Atrium Health - HMO
- Clear Silver - EPO
- Elite Bronze - EPO
- Elite Bronze + Vision + Adult Dental - EPO
- Elite Gold - EPO
- Elite Gold + Vision + Adult Dental - EPO
- Enhanced Diabetes Care Silver with $0 Drug Options - EPO
- Enhanced Diabetes Care Silver with $0 Drug Options + Vision + Adult Dental - EPO
- Everyday Bronze - EPO
- Everyday Bronze + Vision + Adult Dental - EPO
- Everyday Gold - EPO
- Blue Advantage Bronze Basic | 3 Free PCP | $20 Tier 1 Rx | Integrated | Nationwide Doctors - PPO
- Blue Advantage Bronze Complete | $60 PCP | $20 Tier 1 Rx | Nationwide Doctors - PPO
- Blue Advantage Bronze Standard | Nationwide Doctors - PPO
- Blue Advantage Gold Premier | 3 Free PCP | $10 Tier 1 Rx | Nationwide Doctors - PPO
- Blue Advantage Gold Standard | Nationwide Doctors - PPO
- Blue Advantage Silver Choice | 3 Free PCP | $15 Tier 1 Rx | Nationwide Doctors - PPO
- Blue Advantage Silver Preferred | 3 Free PCP | $10 Tier 1 Rx | Integrated | Nationwide Doctors - PPO
- Blue Advantage Silver Standard | Nationwide Doctors - PPO
- Blue Care Bronze Standard | Statewide Doctors - HMO
- Blue Care Gold Standard | Statewide Doctors - HMO
- Standard Expanded Bronze WellCare - PPO
- Standard Gold WellCare - PPO
- Standard Silver WellCare - PPO
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Medicare Participation & PECOS Enrollment Status
Jeffrey Sapyta is registered with Medicare and accepts claims assignment, this means the provider accepts the approved amount for the cost of rendered services as full payment. Participating providers may not charge beneficiaries more than the approved amount for their services. Please keep in mind that beneficiaries still have to pay a coinsurance or copayment amount for a visit or service.
Jeffrey Sapyta is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging and Durable Medical Equipment (DME).
What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.
Is the provider registered in PECOS? Yes
PECOS PAC ID: 8022185750
What is the PECOS Associate Control ID?
A PAC ID is a unique 10-digit number assigned to an individual or organization healthcare provider in PECOS. The PAC ID is used to link together all the provider information, like tax identification numbers and organizational names. A PAC ID can be connected to multiple Enrollment IDs if an individual or organization has enrolled in PECOS more than once.PECOS Enrollment ID: I20080923000308
What is the Provider Enrollment ID?
The Enrollment ID is a unique alphanumeric 15-digit code assigned to each new provider's PECOS enrollment application. The Enrollment ID is used to link together all the provider enrollment information like enrollment type, state, provider specialty, and reassignment of benefits.Accepts Medicare Assignment? Yes
What does it mean "accepts medicare assignment"?
When a provider accepts Medicare assignment, the provider agrees to be paid directly by Medicare and to accept the payment amount approved by Medicare. Additionally, the provider agrees to not bill patients for more than the Medicare deductible and coinsurance amounts.
A provider who doesn't accept assignment may charge you up to 15% over the Medicare-approved amount. This is known as the limiting charge. You may have to pay this amount, or it may be covered by another insurer.Eligible to Order or Refer Part B Clinical Laboratory and Imaging: Yes
Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes
Eligible to Order or Refer a Home Health Agency (HHA): No
Eligible to Order or Refer Power Mobility Devices: No
Reviews for JEFFREY J. SAPYTA PHD
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NPI Validation Check Digit Calculation
The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.
Start with the original NPI number, the last digit is the check digit and is not used in the calculation. | |||||||||
1 | 7 | 5 | 0 | 5 | 5 | 7 | 5 | 8 | 3 |
Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
2 | 7 | 10 | 0 | 10 | 5 | 14 | 5 | 16 | |
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
2 + 7 + 1 + 0 + 0 + 1 + 0 + 5 + 1 + 4 + 5 + 1 + 6 + 24 = 57 | |||||||||
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
60 - 57 = 3 | 3 |
The NPI number 1750557583 is valid because the calculated check digit 3 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following 20 providers are registered at the same or nearby location.
NPI | Name / Type | Taxonomy | Address |
---|---|---|---|
1932181039 | DR. DAVID GUY KIRSCH MD Individual | Radiology (Radiation Oncology) | 2100 ERWIN RD DURHAM, NC 27710 (919) 684-8111 |
1861476848 | SHASHI KUMAR NAGARAJ MD Individual | Pediatrics (Pediatric Nephrology) | 2100 ERWIN RD DURHAM, NC 27710 (919) 684-8111 |
1033182407 | SANDESH DEV MD Individual | Internal Medicine (Cardiovascular Disease) | 2100 ERWIN RD DURHAM, NC 27710 (919) 684-8111 |
1255304341 | JULIE KAY MAROSKY THACKER M.D. Individual | Colon & Rectal Surgery | 2100 ERWIN RD DURHAM, NC 27710 (919) 684-8111 |
1770546772 | CHARLES EDMOND MURPHY JR. M.D. Individual | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 2100 ERWIN RD DURHAM, NC 27710 (919) 684-8111 |
1902856651 | DEBRA L SUDAN MD Individual | Transplant Surgery | 2100 ERWIN RD DURHAM, NC 27710 (919) 684-8111 |
1023065612 | DR. SCOTT COUSINS MD Individual | Ophthalmology | 2100 ERWIN RD DURHAM, NC 27710 (919) 684-8111 |
1801843537 | CLARE A PIPKIN MD Individual | Dermatology | 2100 ERWIN RD DURHAM, NC 27710 (919) 684-8111 |
1871531624 | RANDALL PAUL SCHERI M.D. Individual | Surgery (Surgical Oncology) | 2100 ERWIN RD DURHAM, NC 27710 (919) 684-8111 |
1669411708 | ADAM COLEMAN PA Individual | Physician Assistant | 2100 ERWIN RD DURHAM, NC 27710 (919) 684-8111 |
1215971742 | EDWARD F HENDERSHOT MD Individual | Internal Medicine (Infectious Disease) | 2100 ERWIN RD DURHAM, NC 27710 (919) 684-8111 |
1578507125 | HEATHER S MCLEAN MD Individual | Pediatrics | 2100 ERWIN RD DURHAM, NC 27710 (919) 684-8111 |
1366471575 | JESSICA MULLER SUN MD Individual | Pediatrics (Pediatric Hematology-Oncology) | 2100 ERWIN RD DURHAM, NC 27710 (919) 684-8111 |
1376575746 | DAVID MICHAEL GALLAGHER MD Individual | Internal Medicine | 2100 ERWIN RD DURHAM, NC 27710 (919) 684-8111 |
1093740052 | AFSHIN FARZANEH-FAR M.D. Individual | Internal Medicine (Cardiovascular Disease) | 2100 ERWIN RD DURHAM, NC 27710 (919) 684-8111 |
1578583779 | DAN GERMAN BLAZER III M.D. Individual | Surgery (Surgical Oncology) | 2100 ERWIN RD DURHAM, NC 27710 (919) 684-8111 |
1265454136 | PURNIMA T. VALDEZ M.D. Individual | Pediatrics | 2100 ERWIN RD DURHAM, NC 27710 (919) 684-8111 |
1811900806 | JOHN THEODORE PETROWSKI III O.D. Individual | Optometrist | 2100 ERWIN RD DURHAM, NC 27710 (919) 684-8111 |
1053428326 | ALI REZA ZOMORODI MD Individual | Neurological Surgery | 2100 ERWIN RD DURHAM, NC 27710 (919) 684-8111 |
1427150242 | MRS. SUSANNE SOCHA JACKSON Individual | Nurse Practitioner | 2100 ERWIN RD DURHAM, NC 27710 (919) 688-3079 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1750557583, enumerated in the NPI registry as an "individual" on May 01, 2008
The provider is located at 2100 Erwin Rd Durham, Nc 27710 and the phone number is (919) 684-8111
The provider's speciality is Psychologist with taxonomy code 103T00000X
The provider has more than 20 years of experience.
The provider might be accepting Accepts: Aetna CVS Health, Ambetter from Absolute Total. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.
Yes, as of June 20, 2025 the provider is registered in PECOS and is eligible to order health care services or supplies for Medicare patients. If you are a beneficiary the provider is eligible to order or refer: Part B Clinical Laboratory and Imaging and Durable Medical Equipment (DME).
This NPI record was last updated on May 01, 2008. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
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