Active NPI
John D Sanders, LMFT
- Psychiatric Residential Treatment Facility
- Goddard, KS
National Provider Identifier
1043404262
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatric Residential Treatment Facility
- License
- LMFT 538
- Practice address
- 24401 W Macarthur Rd
Goddard, KS 67052-8713 - Phone
- (316) 794-2760
- Fax
- (316) 794-2773
- NPI assigned
- Aug 30, 2007
- Last updated
- Aug 30, 2007
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Marriage & Family Therapist | 106H00000X | LMFT 538 | KS | |
| Psychiatric Residential Treatment Facility | 323P00000X | LMFT 538 | KS | Primary |
Addresses
Primary practice location
24401 W Macarthur Rd
Goddard, KS 67052-8713
Mailing address
960 N Wilbur LN
Wichita, KS 67212-3168
Phone (316) 734-4904
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LMFT 538 | KS | MD | Marriage & Family Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1188432000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1188432000000",
"number": "1043404262",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "960 N WILBUR LN",
"city": "WICHITA",
"state": "KS",
"postal_code": "672123168",
"telephone_number": "316-734-4904",
"fax_number": "316-794-2773"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "24401 W MACARTHUR RD",
"city": "GODDARD",
"state": "KS",
"postal_code": "670528713",
"telephone_number": "316-794-2760",
"fax_number": "316-794-2773"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SANDERS",
"first_name": "JOHN",
"middle_name": "D",
"credential": "LMFT",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-08-30",
"last_updated": "2007-08-30",
"status": "A"
},
"taxonomies": [
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "KS",
"license": "LMFT 538",
"primary": false
},
{
"code": "323P00000X",
"taxonomy_group": "",
"desc": "Psychiatric Residential Treatment Facility",
"state": "KS",
"license": "LMFT 538",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Goddard, KS
- Ken Roberts, PHARMD
- Thomas L Rochat, PH.D
- Jana L Rombeck, MOT, OTR/L
- Kimberley E Rowan, LMSW
- Kelsey Joy Salazar, MS, LCPC, CSOTP
- Lara C Sayler, MA CCC SLP
- Michael Schmidt, PTA
- Stephanie Schroeder
- Amber Schwind, COTA
- Sedgwick County Area Ed Serv 618 (Sedgwick County Area Educational Services Interlocal Cooperative #618)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 30, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.