Active NPI
George Mason Sanders
- Clinical Psychologist
- Cherry Hill, NJ
National Provider Identifier
1033295126
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- 1018
- Practice address
- 1916 Marlton Pike E
Suite 4
Cherry Hill, NJ 08003-2139 - Phone
- (856) 424-6312
- Fax
- (856) 424-7833
- NPI assigned
- Oct 31, 2006
- Last updated
- Nov 2, 2016
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | 1018 | NJ | Primary |
Addresses
Primary practice location
1916 Marlton Pike E
Suite 4
Cherry Hill, NJ 08003-2139
Mailing address
1005 Friendship LN
Suite 4
Cherry Hill, NJ 08002-1018
Phone (856) 424-6312
Other names 1
- Dr. George M.. Sanders
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1018 | NJ | MD | Primary Podiatric Medicine Podiatrist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1162252800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1478044800000",
"number": "1033295126",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1005 FRIENDSHIP LN",
"address_2": "SUITE 4",
"city": "CHERRY HILL",
"state": "NJ",
"postal_code": "080021018",
"telephone_number": "856-424-6312",
"fax_number": "856-424-7833"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1916 MARLTON PIKE E",
"address_2": "SUITE 4",
"city": "CHERRY HILL",
"state": "NJ",
"postal_code": "080032139",
"telephone_number": "856-424-6312",
"fax_number": "856-424-7833"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SANDERS",
"first_name": "GEORGE",
"middle_name": "MASON",
"name_prefix": "Dr.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-10-31",
"last_updated": "2016-11-02",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "NJ",
"license": "1018",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "GEORGE",
"last_name": "SANDERS",
"middle_name": "M..",
"prefix": "DR.",
"credential": "PH.D.",
"code": "2",
"type": "Professional Name"
}
]
}Other providers in Cherry Hill, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 2, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.