Organization Active NPI

Deborah L Sano PHD LLC

  • Psychologist
  • Boardman, OH
National Provider Identifier
1164430864
Registry record updated Jul 7, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
6301011855 Issued in MI
Legal business name
DEBORAH L SANO PHD LLC
Practice address
7010 South Ave Ste 5
Boardman, OH 44512-3603
Phone
(330) 953-0373
Fax
(330) 953-1373
NPI assigned
Aug 4, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 7, 2010

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

Authorized official

Name
Dr. Deborah Louise Sano, PH.D.NPI 1407876816
Title
Psychologist
Phone
(330) 506-9610

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
PsychologistGroup: 193400000X SINGLE SPECIALTY GROUP 103T00000X 6301011855 MI Primary

Addresses

Primary practice location

7010 South Ave Ste 5
Boardman, OH 44512-3603

Mailing address

PO Box 114
Canfield, OH 44406-0114
Phone (330) 506-9610

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20100707000109 OH Part B Supplier - Clinic/Group Practice 7618973199 Receives reassigned benefits from 1 practitioner
Practice locations: Boardman, OH

National Provider Directory

National Provider Directory

Locations

33110 Grand River Ave
Farmington, MI 48336
Phone (248) 252-8950

7010 South Ave
Ste 5
Boardman, OH 44512
Phone (330) 953-0373

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1154649600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1278460800000",
    "number": "1164430864",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 114",
            "city": "CANFIELD",
            "state": "OH",
            "postal_code": "444060114",
            "telephone_number": "330-506-9610"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7010 SOUTH AVE STE 5",
            "city": "BOARDMAN",
            "state": "OH",
            "postal_code": "445123603",
            "telephone_number": "330-953-0373",
            "fax_number": "330-953-1373"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DEBORAH L SANO PHD LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-04",
        "last_updated": "2010-07-07",
        "status": "A",
        "authorized_official_last_name": "SANO",
        "authorized_official_first_name": "DEBORAH",
        "authorized_official_middle_name": "LOUISE",
        "authorized_official_title_or_position": "PSYCHOLOGIST",
        "authorized_official_telephone_number": "330-506-9610",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PH.D."
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist",
            "state": "MI",
            "license": "6301011855",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Boardman, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 7, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.