Individual provider Active NPI

Arvin Darius Sanders, PHD

  • Psychologist
  • Washington, DC
National Provider Identifier
1144984436
Registry record updated Jan 20, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
PSYA00202 Issued in DC
Practice address
1001 Connecticut Ave NW Ste 1235
Washington, DC 20036-5576
Phone
(202) 529-3117
NPI assigned
Oct 24, 2021
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 20, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychologist 103T00000X PSYA00202 DC Primary

Addresses

Primary practice location

1001 Connecticut Ave NW Ste 1235
Washington, DC 20036-5576

Mailing address

8201 16TH St Apt 506
Silver Spring, MD 20910-3248
Phone (240) 665-8066

Other practice location 1

333 Hawaii Ave NE Ste 100
Washington, DC 20011-4966
Phone (202) 232-4270

Electronic endpoints 2

TypeEndpointUseAffiliation
Other URL https://mecca.theranest.com/
Other URL https://ehr.icanotes.com/

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
PSYA00202DCMDPsychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Love Your Life Healthcare Inc PastSince Feb 1, 2016 Accepting new patients

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1635033600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1642636800000",
    "number": "1144984436",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8201 16TH ST APT 506",
            "city": "SILVER SPRING",
            "state": "MD",
            "postal_code": "209103248",
            "telephone_number": "240-665-8066"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1001 CONNECTICUT AVE NW STE 1235",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200365576",
            "telephone_number": "202-529-3117"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "333 Hawaii Ave NE Ste 100",
            "address_purpose": "LOCATION",
            "city": "Washington",
            "state": "DC",
            "postal_code": "200114966",
            "country_code": "US",
            "telephone_number": "202-232-4270",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SANDERS",
        "first_name": "ARVIN",
        "middle_name": "DARIUS",
        "name_prefix": "Dr.",
        "credential": "PHD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2021-10-24",
        "last_updated": "2022-01-20",
        "certification_date": "2022-01-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "DC",
            "license": "PSYA00202",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "https://mecca.theranest.com/",
            "affiliation": "N",
            "address_1": "1112 16th St NW Ste 600",
            "city": "Washington",
            "state": "DC",
            "country_code": "US",
            "postal_code": "200364814",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "https://ehr.icanotes.com/",
            "affiliation": "N",
            "address_1": "333 Hawaii Ave NE Ste 100",
            "city": "Washington",
            "state": "DC",
            "country_code": "US",
            "postal_code": "200114966",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Washington, DC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 20, 2022; 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.