Desiree Sanders

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

License

0034235 Issued in OH

Practice address

4250 Richmond Rd # Ehct211L
Highland Hills, OH 44122-6104

Phone

(216) 987-4363

NPI assigned

Jun 26, 2023

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Advanced Youth Counseling LLC

  • Psychiatric/Mental Health Nurse Practitioner
  • Beachwood, OH
  • NPI 1144907841

  Single Specialty

  NPD Authorized official
• Advanced Youth Counseling PLCC

  • Psychiatric/Mental Health Nurse Practitioner
  • Henderson, NV
  • NPI 1588442586

  Single Specialty

  NPD Authorized official

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

{
    "created_epoch": "1687737600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1687737600000",
    "number": "1396421087",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4250 RICHMOND RD # EHCT211L",
            "city": "HIGHLAND HILLS",
            "state": "OH",
            "postal_code": "441226104",
            "telephone_number": "216-987-4363"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4250 RICHMOND RD # EHCT211L",
            "city": "HIGHLAND HILLS",
            "state": "OH",
            "postal_code": "441226104",
            "telephone_number": "216-987-4363"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SANDERS",
        "first_name": "DESIREE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-06-26",
        "last_updated": "2023-06-26",
        "certification_date": "2023-06-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "OH",
            "license": "0034235",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Gabrielle Rankin
• Trisha Ray, SP
• Karla Danielle Reese, OTRL
• Angela Rice, OTR/L
• Ashley Rosinski
• Nicole A Schuler, CCC-SLP
• Seth Nathan Sclair, M.D.
• Sarah Shafer, LISW-S
• Emily Shoenberger, RN
• Dariun Sims

• Psychiatric/Mental Health Nurse Practitioner in Highland Hills, OH
• Providers in Highland Hills, OH by specialty
• Psychiatric/Mental Health Nurse Practitioner in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 26, 2023; 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.