Active NPI
David Sandberg, PH.D.
- Clinical Psychologist
- Anchorage, AK
National Provider Identifier
1386833895
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- AK 437
- Practice address
- 2550 Denali St Ste 1608
Anchorage, AK 99503-2753 - Phone
- (907) 258-0065
- NPI assigned
- Oct 20, 2007
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | AK 437 | AK | Primary |
Addresses
Primary practice location
2550 Denali St Ste 1608
Anchorage, AK 99503-2753
Mailing address
PO Box 240028
Anchorage, AK 99524-0028
Phone (907) 258-0065
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)
- Enrolled
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| AK 437 | AK | MD | Clinical Psychologist |
| 437 | AK | MD | Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1192838400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1192838400000",
"number": "1386833895",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 240028",
"city": "ANCHORAGE",
"state": "AK",
"postal_code": "995240028",
"telephone_number": "907-258-0065"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2550 DENALI ST STE 1608",
"city": "ANCHORAGE",
"state": "AK",
"postal_code": "995032753",
"telephone_number": "907-258-0065"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SANDBERG",
"first_name": "DAVID",
"name_prefix": "Dr.",
"credential": "PH.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-10-20",
"last_updated": "2007-10-20",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "AK",
"license": "AK 437",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Anchorage, AK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 20, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.