SARAH KYSOR-ITRI (PSYD) – Psychologist, NPI 1053947143

SARAH KYSOR-ITRI (PSYD) is a healthcare provider. based in Kittanning, Pennsylvania. specializing in CLINICAL PSYCHOLOGIST. They hold the professional credentials PSYD. The NPI Number for SARAH KYSOR-ITRI (PSYD) is 1053947143

Main info

Female
4 Years Of Experience
Accepts Medicare Assignment
Name
SARAH KYSOR-ITRI (PSYD)
NPI
1053947143
Phone
(585) 773-9255
Address
230 RIDGE AVE
Enumeration Date
20 March 2020
Last Update Date
8 May 2024

Doctor Profile

Medical School Name
INDIANA UNIVERSITY SCHOOL OF MEDICINE
Secondary Phone
7249342420
Graduation Year
2022 (4 years ago)
PAC ID
6204278724
Group Practice PAC ID
5395649586
Professional Enrollment ID
I20240529001496
Address ID
PA150909508WE500XXDRXX302
Telehealth
Yes
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience32
Completeness75
Years active:6State licenses:0Digital endpointsOther names

1,669 CLINICAL PSYCHOLOGIST in PA

Provider Addresses for SARAH KYSOR-ITRI (PSYD)

  • 230 RIDGE AVE

    KITTANNING, PA 162011820

    Phone: (585) 773-9255

    Type: Mailing

  • 163 PLAZA RD

    INDIANA, PA 157013264

    Phone: (724) 465-2311

    Type: Location

  • 4 ALLEGHENY CTR FL 8

    PITTSBURGH, PA 152125255

    Phone: (412) 330-4000

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2024-05-29

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20240529001496IClinical PsychologistPATBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 16201)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 5395649586View full group profile
NameSpecialtyState
-PA
Radiation OncologyPA
Nurse PractitionerPA
Nurse PractitionerPA
Critical Care (Intensivists), General SurgeryPA
Physician AssistantPA
O B S T E T R I C S/ G Y N E C O L O G YPA
A N E S T H E S I O L O G YPA
-PA
-PA

Reviews

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Frequently asked questions

How do I look up SARAH KYSOR-ITRI (PSYD) by NPI?
Use NPI 1053947143 when you need to reference SARAH KYSOR-ITRI (PSYD) in forms, claims, or directories.
Is SARAH KYSOR-ITRI (PSYD)'s NPI currently valid?
The extract we use shows SARAH KYSOR-ITRI (PSYD) as active.
What field does SARAH KYSOR-ITRI (PSYD) work in?
You can think of SARAH KYSOR-ITRI (PSYD) as practicing within Psychologist. Clinical services aligned with this taxonomy classification.
What location shows for SARAH KYSOR-ITRI (PSYD)?
We surface Kittanning, Pennsylvania for SARAH KYSOR-ITRI (PSYD) based on available NPPES addresses.
Is SARAH KYSOR-ITRI (PSYD) a real provider?
This page reflects official NPPES data for NPI 1053947143. Always confirm identity and privileges with the practice and licensing boards.

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