Laura Rae Sanders, PHD, LP, LSSP

Primary specialty

PsychologistTaxonomy code 103T00000X

License

36682 Issued in TX

Practice address

202 W Sandy Lake Rd Ste 104
Coppell, TX 75019-2202

Phone

(214) 702-1318

Fax

(214) 602-2728

NPI assigned

Jun 25, 2014

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

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.

• DFW Assessment, PLLC

  • Community/Behavioral Health Agency
  • Lewisville, TX
  • NPI 1518358472
  NPD (past) Authorized official

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

{
    "created_epoch": "1403654400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1567209600000",
    "number": "1104231463",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "432 COZBY AVE",
            "city": "COPPELL",
            "state": "TX",
            "postal_code": "750193935",
            "telephone_number": "214-702-1318",
            "fax_number": "214-602-2728"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "202 W SANDY LAKE RD STE 104",
            "city": "COPPELL",
            "state": "TX",
            "postal_code": "750192202",
            "telephone_number": "214-702-1318",
            "fax_number": "214-602-2728"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4786 McMurry Ave Unit 2B",
            "address_purpose": "LOCATION",
            "city": "Fort Collins",
            "state": "CO",
            "postal_code": "805254499",
            "country_code": "US",
            "telephone_number": "970-465-2977",
            "fax_number": "960-230-6635",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2012 Devin Ln",
            "address_purpose": "LOCATION",
            "city": "Lewisville",
            "state": "TX",
            "postal_code": "750678965",
            "country_code": "US",
            "telephone_number": "724-992-0599",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SANDERS",
        "first_name": "LAURA",
        "middle_name": "RAE",
        "name_prefix": "Dr.",
        "credential": "PHD, LP, LSSP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-06-25",
        "last_updated": "2019-08-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "TX",
            "license": "36682",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Psychologist in Coppell, TX
• Providers in Coppell, TX by specialty
• Psychologist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 31, 2019; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.