Risa E Sanders, PH.D.

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

0810002666 Issued in VA

Practice address

1313 Vincent PL
MC Lean, VA 22101-3615

Phone

(703) 919-1959

NPI assigned

Feb 27, 2009

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Risa J. Edwards Professional name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Opted out of Medicare

Yes, effective Jan 28, 2020 through Jan 28, 2028

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Philosophy

State licenses

Practice roles

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.

• Risa E. Sanders, PH.D., PLLC

  • Clinical Psychologist
  • MC Lean, VA
  • NPI 1013337815
  NPD (past) Authorized official

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

{
    "created_epoch": "1235692800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1374278400000",
    "number": "1063652253",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1313 VINCENT PL",
            "city": "MC LEAN",
            "state": "VA",
            "postal_code": "221013615",
            "telephone_number": "703-919-1959"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1313 VINCENT PL",
            "city": "MC LEAN",
            "state": "VA",
            "postal_code": "221013615",
            "telephone_number": "703-919-1959"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SANDERS",
        "first_name": "RISA",
        "middle_name": "E",
        "credential": "PH.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-02-27",
        "last_updated": "2013-07-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "VA",
            "license": "0810002666",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "RISA",
            "last_name": "EDWARDS",
            "middle_name": "J.",
            "credential": "PH.D.",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• John Sanil Samuel, M.D.
• Vinna Patricia San Juan, FNP-BC
• Laura Alejandra Sanchez Mendez
• Sanctuary Oral Maxillofacial Surgery
• Margaret M Sanders, NP
• Toni Nicole Sanders
• Fereshteh Sani, M.D.
• Gabriel Fernando Santiago, M.D.
• Carla Sara
• Trushar M Sarang, MD

• Clinical Psychologist in MC Lean, VA
• Providers in MC Lean, VA by specialty
• Clinical Psychologist in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 20, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.