John D Sanders, LMFT
Individual provider Active NPI Psychiatric Residential Treatment Facility · Goddard, KS
NPI 1043404262 · NPPES record last updated Aug 30, 2007
Key facts
- NPI
- 1043404262
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Psychiatric Residential Treatment Facility 323P00000X
- License
- LMFT 538 (KS)
- Practice address
- 24401 W Macarthur Rd
Goddard, KS 67052-8713 - Phone
- (316) 794-2760
- Fax
- (316) 794-2773
- NPI assigned
- Aug 30, 2007
- Sex
- Male
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LMFT 538 | KS | MD | Psychiatric Residential Treatment Facility |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Marriage & Family Therapist | 106H00000X | LMFT 538 | KS | |
| Psychiatric Residential Treatment Facility | 323P00000X | LMFT 538 | KS | Yes |
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
Other providers in Goddard, KS
- Ken Roberts
- Thomas L Rochat
- Jana L Rombeck
- Kimberley E Rowan
- Kelsey Joy Salazar
- Lara C Sayler
- Michael Schmidt
- Stephanie Schroeder
- Amber Schwind
- Sedgwick County Area Ed Serv 618
All providers in Goddard, KS · Psychiatric Residential Treatment Facility in Kansas
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 30, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.