Lavina Leanne Sanders, PH.D.

Primary specialty

Health PsychologistTaxonomy code 103TH0004X

License

PSY.0004785 Issued in CO

Practice address

500 Foothill Dr
Salt Lake City, UT 84148-4210

Phone

(720) 591-2136

NPI assigned

Jun 20, 2013

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

Other names 1

• Dr. Lavina Leanne Cavasos Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Philosophy

State licenses

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

{
    "created_epoch": "1371686400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1575936000000",
    "number": "1306285549",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2619 BAR HARBOR DR",
            "city": "FORT COLLINS",
            "state": "CO",
            "postal_code": "805242607",
            "telephone_number": "505-328-0853"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "500 FOOTHILL DR",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "841484210",
            "telephone_number": "720-591-2136"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SANDERS",
        "first_name": "LAVINA",
        "middle_name": "LEANNE",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-06-20",
        "last_updated": "2019-12-10",
        "certification_date": "2019-12-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TH0004X",
            "taxonomy_group": "",
            "desc": "Psychologist, Health",
            "state": "CO",
            "license": "PSY.0004785",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LAVINA",
            "last_name": "CAVASOS",
            "middle_name": "LEANNE",
            "prefix": "DR.",
            "credential": "PH.D.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Brian Sanders, MD
• Chad Sanders
• Elizabeth Ann Sanders
• Heather Sanders
• Karl Alan Sanders, M.D.
• Linda Ranae Sanders, APRN
• McKenna Sanders
• Megan Colleen Sanders, CSW
• Monika Ann Sanders
• Natalie Ann Sanders, D.O.

• Health Psychologist in Salt Lake City, UT
• Providers in Salt Lake City, UT by specialty
• Health Psychologist in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 10, 2019; 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.