Active NPI
Aaron William Sanders, DO
- Psychiatry Physician
- Provo, UT
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- License
- 13004911-1204
- Practice address
- 395 W Cougar Blvd Ste 601
Provo, UT 84604-3331 - Phone
- (801) 357-7525
- NPI assigned
- Mar 18, 2019
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Psychiatry Physician | 2084P0800X | T0917 | TX | |
| Psychiatry Physician | 2084P0800X | 13004911-1204 | UT | Primary |
Addresses
Primary practice location
395 W Cougar Blvd Ste 601
Provo, UT 84604-3331
Mailing address
PO Box 27128
Salt Lake City, UT 84127-0128
Phone (801) 357-7525
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in UT
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Psychiatry
- Education
- Arizona College of Osteopathic Medicine Mid Western University, 2019
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
395 W Bulldog Blvd
Suite 601
Provo, UT 84604-3331
Phone (801) 357-7525
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| T0917 | TX | MD | Psychiatry Physician |
| 13004911-1204 | UT | MD | Psychiatry Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Allegiance Behavioral Health Center of Plainview, LLC | Current | Accepting new patients | |
| Ihc Health Services, Inc. | Psychiatry | Current | Accepting new patients |
| Ihc Health Services Inc | Current | Accepting new patients | |
| Ihc Health Services Inc | Current | Accepting new patients |
Locations
2601 Dimmitt Rd
Ste 400
Plainview, TX 79072
Phone (806) 296-9191
700 S Highway 99
Ste 3
Fillmore, UT 84631
Phone (435) 743-5555
395 W Cougar Blvd
Ste 601
Provo, UT 84604
Phone (801) 357-7525
Organizations & group practices 4
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.
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NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1552867200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1689033600000",
"number": "1043779036",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 27128",
"city": "SALT LAKE CITY",
"state": "UT",
"postal_code": "841270128",
"telephone_number": "801-357-7525"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "395 W COUGAR BLVD STE 601",
"city": "PROVO",
"state": "UT",
"postal_code": "846043331",
"telephone_number": "801-357-7525"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SANDERS",
"first_name": "AARON",
"middle_name": "WILLIAM",
"credential": "DO",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2019-03-18",
"last_updated": "2023-07-11",
"certification_date": "2023-07-11",
"status": "A"
},
"taxonomies": [
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "TX",
"license": "T0917",
"primary": false
},
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "UT",
"license": "13004911-1204",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Provo, UT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 11, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.