Organization Active NPI

Risa E. Sanders, PH.D., PLLC

  • Clinical Psychologist
  • MC Lean, VA
National Provider Identifier
1013337815
Registry record updated Apr 18, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
0810002666 Issued in VA
Legal business name
RISA E. SANDERS, PH.D., PLLC
Practice address
1313 Vincent PL
MC Lean, VA 22101-3615
Phone
(703) 919-1959
NPI assigned
Apr 18, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 18, 2014

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dr. Risa E Sanders, PH.D.NPI 1063652253
Title
Clinical Psychologist/ Owner
Phone
(703) 919-1959

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical PsychologistGroup: 193400000X SINGLE SPECIALTY GROUP 103TC0700X 0810002666 VA Primary

Addresses

Primary practice location

1313 Vincent PL
MC Lean, VA 22101-3615

Mailing address

1313 Vincent PL
MC Lean, VA 22101-3615
Phone (703) 919-1959

Other identifiers 1

IdentifierTypeStateIssuer
1063652253OtherINDIVIDUAL NPI

National Provider Directory

National Provider Directory

Locations

1313 Vincent Pl
McLean, VA 22101
Phone (703) 517-3317

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1397779200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1397779200000",
    "number": "1013337815",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1313 VINCENT PL",
            "city": "MC LEAN",
            "state": "VA",
            "postal_code": "221013615",
            "telephone_number": "703-919-1959"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1313 VINCENT PL",
            "city": "MC LEAN",
            "state": "VA",
            "postal_code": "221013615",
            "telephone_number": "703-919-1959"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RISA E. SANDERS, PH.D., PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-04-18",
        "last_updated": "2014-04-18",
        "status": "A",
        "authorized_official_last_name": "SANDERS",
        "authorized_official_first_name": "RISA",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "CLINICAL PSYCHOLOGIST/ OWNER",
        "authorized_official_telephone_number": "703-919-1959",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PH.D."
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist, Clinical",
            "state": "VA",
            "license": "0810002666",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "INDIVIDUAL NPI",
            "identifier": "1063652253",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in MC Lean, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 18, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.