Active NPI
Michael Sanders
- Counseling Psychologist
- Dedham, MA
National Provider Identifier
1245066638
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Counseling Psychologist
- Practice address
- 16 Milton St Ste 6
Dedham, MA 02026-2991 - Phone
- (888) 955-1167
- Fax
- (888) 245-9392
- NPI assigned
- Sep 11, 2024
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Adult Development & Aging Psychologist | 103TA0700X | |||
| Health Service Psychologist | 103TH0100X | |||
| Counseling Psychologist | 103TC1900X | Primary |
Addresses
Primary practice location
16 Milton St Ste 6
Dedham, MA 02026-2991
Mailing address
16 Milton St Ste 6
Dedham, MA 02026-2991
Phone (888) 955-1167
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
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Essence of Pearls Counseling | Current | Accepting new patients |
Locations
16 Milton St
Ste 6
Dedham, MA 02026
Phone (866) 955-1167
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.
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Dedham, MA
- NPI 1528534229
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1726012800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1726012800000",
"number": "1245066638",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "16 MILTON ST STE 6",
"city": "DEDHAM",
"state": "MA",
"postal_code": "020262991",
"telephone_number": "888-955-1167",
"fax_number": "888-245-9392"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "16 MILTON ST STE 6",
"city": "DEDHAM",
"state": "MA",
"postal_code": "020262991",
"telephone_number": "888-955-1167",
"fax_number": "888-245-9392"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SANDERS",
"first_name": "MICHAEL",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2024-09-11",
"last_updated": "2024-09-11",
"certification_date": "2024-09-11",
"status": "A"
},
"taxonomies": [
{
"code": "103TA0700X",
"taxonomy_group": "",
"desc": "Psychologist, Adult Development & Aging",
"state": null,
"license": null,
"primary": false
},
{
"code": "103TH0100X",
"taxonomy_group": "",
"desc": "Psychologist, Health Service",
"state": null,
"license": null,
"primary": false
},
{
"code": "103TC1900X",
"taxonomy_group": "",
"desc": "Psychologist, Counseling",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Dedham, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.