Active NPI
Nicholas Ryan Sandersfeld, D.O.
- Psychiatry Physician
- Spokane, WA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- License
- OP60608490
- Practice address
- 105 W 8TH Ave
Suite 450E
Spokane, WA 99204-2302 - Phone
- (509) 474-6920
- NPI assigned
- Jun 1, 2012
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Psychiatry Physician | 2084P0800X | 5101020604 | MI | |
| Student in an Organized Health Care Education/Training Program | 390200000X | 9407902 | KS | |
| Psychiatry Physician | 2084P0800X | OP60608490 | WA | Primary |
Addresses
Primary practice location
105 W 8TH Ave
Suite 450E
Spokane, WA 99204-2302
Mailing address
PO Box 421
Michigan State University, Dept Psychiatry
Liberty Lake, WA 99019-0421
Phone (866) 747-2455
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Psychiatry
- Education
- Other, 2012
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
4700 Point Fosdick Dr
Gig Harbor, WA 98335-1706
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| OP60608490 | WA | MD | Psychiatry Physician |
| 9407902 | KS | MD | Student in an Organized Health Care Education/Training Program |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Multicare Health System | Current | Accepting new patients | |
| Multicare Health System | Current | Accepting new patients | |
| Washington Pac Services PC | Current | Accepting new patients | |
| CS Pacs 3 Northwest, LLC | Current | Accepting new patients | |
| Multicare Health System | Current | Accepting new patients | |
| Wa Pacs 2 PC | Current | Accepting new patients |
Locations
21008 76th Ave W
Edmonds, WA 98026
Phone (425) 778-0107
135 S 336th St
Federal Way, WA 98003
Phone (253) 835-7433
4700 Point Fosdick Dr
Ste 104
Gig Harbor, WA 98335
Phone (253) 459-7590
222 State Ave N
Kent, WA 98030
Phone (253) 372-7680
920 12th Ave SE
Puyallup, WA 98372
Phone (253) 841-3422
3600 E Hartson Ave
Spokane, WA 99202
Phone (509) 468-7000
14820 E 4th Ave
Spokane Valley, WA 99216
Phone (509) 922-1644
311 S L St
Tacoma, WA 98405
Phone (253) 403-1444
Organizations & group practices 7
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.
-
- Neurological Surgery Physician
- Tacoma, WA
- NPI 1497766638
-
- Hospitalist Physician
- Puyallup, WA
- NPI 1811752066
-
- Hospitalist Physician
- Tacoma, WA
- NPI 1144706532
-
- Hospitalist Physician
- Spokane, WA
- NPI 1336678168
-
- Family Medicine Physician
- Spokane, WA
- NPI 1952093742
-
- Community/Retail Pharmacy
- Spokane, WA
- NPI 1396594875
-
- Physical Therapist
- Lakewood, WA
- NPI 1790298081
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Spokane, WA
- NPI 1356528269
-
- General Acute Care Hospital
- Spokane Valley, WA
- NPI 1538345251
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1338508800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1471564800000",
"number": "1376804708",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 421",
"address_2": "MICHIGAN STATE UNIVERSITY, DEPT PSYCHIATRY",
"city": "LIBERTY LAKE",
"state": "WA",
"postal_code": "990190421",
"telephone_number": "866-747-2455"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "105 W 8TH AVE",
"address_2": "SUITE 450E",
"city": "SPOKANE",
"state": "WA",
"postal_code": "992042302",
"telephone_number": "509-474-6920"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SANDERSFELD",
"first_name": "NICHOLAS",
"middle_name": "RYAN",
"name_prefix": "Dr.",
"credential": "D.O.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2012-06-01",
"last_updated": "2016-08-19",
"status": "A"
},
"taxonomies": [
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "MI",
"license": "5101020604",
"primary": false
},
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": "KS",
"license": "9407902",
"primary": false
},
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "WA",
"license": "OP60608490",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Spokane, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 19, 2016; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.