Sanders Psychiatric Associates, LTD

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

License

036087433 Issued in IL

Legal business name

SANDERS PSYCHIATRIC ASSOCIATES, LTD

Practice address

2544 W Montrose Ave
Chicago, IL 60618-1537

Phone

(773) 267-2622

NPI assigned

May 3, 2016

Organization subpart

No

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

Authorized official

Name

Jerry Sanders, MD

Title

President

Phone

(312) 257-7771

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1462233600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1522368000000",
    "number": "1083069595",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 101281",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606108909"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2544 W MONTROSE AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606181537",
            "telephone_number": "773-267-2622"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SANDERS PSYCHIATRIC ASSOCIATES, LTD",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-05-03",
        "last_updated": "2018-03-30",
        "status": "A",
        "authorized_official_last_name": "SANDERS",
        "authorized_official_first_name": "JERRY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "312-257-7771",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "IL",
            "license": "036087433",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jamie Sandberg
• Bhuvaneswari Sandeep Ram
• Rahul Sandella, MD
• Grace Elizabeth Sandeman
• Kirtana Sandepudi
• Rachena N Sanders-Golden, APRN
• Amaya Sanders, MD
• Andrew Sanders, MD
• Anthony Sanders, MPH, MSW, LSW
• Brandon Davis Sanders, M.D.

• Psychiatry Physician in Chicago, IL
• Providers in Chicago, IL by specialty
• Psychiatry Physician in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 30, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.