Active NPI
Patricia S Saunders, PH.D.
- Clinical Psychologist
- New York, NY
National Provider Identifier
1366537649
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- 003912-1
- Practice address
- 412 East 55TH Street
Apt 1E
New York, NY 10022-5104 - Phone
- (212) 759-6572
- Fax
- (212) 759-6572
- NPI assigned
- Oct 4, 2006
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | 003912-1 | NY | Primary |
Addresses
Primary practice location
412 East 55TH Street
Apt 1E
New York, NY 10022-5104
Mailing address
412 East 55Thstreet
Apt 1E
New York, NY 10022-5104
Phone (212) 759-6572
Other practice location 1
156 W 56th St Ste 1804
New York, NY 10019-3878
Phone (212) 851-8100
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 003912 | Other | NY | LICENSE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
- Opted out of Medicare
- Yes, effective Jul 18, 2017 through Jul 18, 2027
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 003912-1 | NY | MD | Clinical Psychologist |
| 003912 | NY | MD | Acupuncturist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1159920000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1581379200000",
"number": "1366537649",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "412 EAST 55THSTREET",
"address_2": "APT 1E",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100225104",
"telephone_number": "212-759-6572",
"fax_number": "212-759-6572"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "412 EAST 55TH STREET",
"address_2": "APT 1E",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100225104",
"telephone_number": "212-759-6572",
"fax_number": "212-759-6572"
}
],
"practiceLocations": [
{
"address_1": "156 W 56th St Ste 1804",
"address_purpose": "LOCATION",
"city": "New York",
"state": "NY",
"postal_code": "100193878",
"country_code": "US",
"telephone_number": "212-851-8100",
"fax_number": "212-537-0102",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "SAUNDERS",
"first_name": "PATRICIA",
"middle_name": "S",
"name_prefix": "Dr.",
"credential": "PH.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-10-04",
"last_updated": "2020-02-11",
"certification_date": "2020-02-11",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "NY",
"license": "003912-1",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "LICENSE",
"identifier": "003912",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}Other providers in New York, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 11, 2020; 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; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.