Individual provider Active NPI

Joshua Sanderson, M.D.

  • Child & Adolescent Psychiatry Physician
  • New Orleans, LA
National Provider Identifier
1033418835
Registry record updated Dec 1, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Child & Adolescent Psychiatry PhysicianTaxonomy code 2084P0804X
License
MD.206434 Issued in LA
Practice address
1750 St. Charles Ave.
Suite 609
New Orleans, LA 70130
Phone
(504) 232-1087
NPI assigned
Mar 18, 2011
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 1, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Child & Adolescent Psychiatry Physician 2084P0804X MD.206434 LA Primary

Addresses

Primary practice location

1750 St. Charles Ave.
Suite 609
New Orleans, LA 70130

Mailing address

1750 St. Charles Ave.
Suite 609
New Orleans, LA 70130
Phone (504) 232-1087

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in LA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20170718002688 LA Practitioner - Psychiatry 6709188998 Reassigns benefits to 4 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Childrens Hospital Medical Practice Corporation Child & Adolescent Psychiatry CurrentSince Jul 7, 2024 Accepting new patients
Ochsner Clinic LLC CurrentSince Mar 1, 2018 Accepting new patients
Louisiana State University School of Med in New Orleans Faculty Grou CurrentSince Jul 1, 2017 Accepting new patients
Louisiana State University School of Medicine in New Orleans Faculty G CurrentSince Jul 1, 2017 Accepting new patients
Ochsner Clinic LLC CurrentSince Mar 1, 2018 Accepting new patients
Louisiana State University School of Medicine in New Orleans Faculty G CurrentSince Jul 1, 2017 Accepting new patients

Locations

1057 Paul Maillard Rd
Luling, LA 70070
Phone (985) 785-3655

3040 33rd St
Metairie, LA 70001
Phone (504) 219-0880

210 State St
Bldg 10
New Orleans, LA 70118
Phone (504) 896-7200

2832 Burdette St
New Orleans, LA 70125
Phone (504) 866-2741

1542 Tulane Ave
Rm 231
New Orleans, LA 70112
Phone (504) 296-8344

200 Henry Clay Ave
New Orleans, LA 70118
Phone (504) 412-1860

1514 Jefferson Hwy
New Orleans, LA 70121

1542 Tulane Ave
New Orleans, LA 70112
Phone (504) 866-2741

104 Acadia Park Dr
Raceland, LA 70394
Phone (985) 537-3211

Organizations & group practices 6

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1300406400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1669852800000",
    "number": "1033418835",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1750 ST. CHARLES AVE.",
            "address_2": "SUITE 609",
            "city": "NEW ORLEANS",
            "state": "LA",
            "postal_code": "70130",
            "telephone_number": "504-232-1087"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1750 ST. CHARLES AVE.",
            "address_2": "SUITE 609",
            "city": "NEW ORLEANS",
            "state": "LA",
            "postal_code": "70130",
            "telephone_number": "504-232-1087"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SANDERSON",
        "first_name": "JOSHUA",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2011-03-18",
        "last_updated": "2022-12-01",
        "certification_date": "2022-12-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0804X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Child & Adolescent Psychiatry",
            "state": "LA",
            "license": "MD.206434",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New Orleans, LA

Sources for this page

Verify at the official NPI Registry.