Gavin Derek Sanders, PHD

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

40538 Issued in TX

Practice address

4601 Old Shepard PL Ste 201
Plano, TX 75093-5269

Phone

(888) 606-0086

Fax

(346) 223-0296

NPI assigned

May 13, 2025

Last updated

Sep 30, 2026By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Enrolled in TX

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Clinical Psychologist

Education

Other, 2023

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Neurocognitive Specialty Group PLLCGroup PAC ID 9133451297, 10 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Neurocognitive Specialty Group, PLLC

  • Clinical Neuropsychologist
  • League City, TX
  • NPI 1346700275
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1747094400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1790726400000",
    "number": "1396536132",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "112 MAGNOLIA ESTATES DR",
            "city": "LEAGUE CITY",
            "state": "TX",
            "postal_code": "775734613",
            "telephone_number": "888-606-0086",
            "fax_number": "346-223-0296"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4601 OLD SHEPARD PL STE 201",
            "city": "PLANO",
            "state": "TX",
            "postal_code": "750935269",
            "telephone_number": "888-606-0086",
            "fax_number": "346-223-0296"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "8330 Lyndon B Johnson Fwy Ste B555",
            "address_purpose": "LOCATION",
            "city": "Dallas",
            "state": "TX",
            "postal_code": "752431166",
            "country_code": "US",
            "telephone_number": "888-606-0086",
            "fax_number": "346-223-0296",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SANDERS",
        "first_name": "GAVIN",
        "middle_name": "DEREK",
        "name_prefix": "Dr.",
        "credential": "PHD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2025-05-13",
        "last_updated": "2026-09-30",
        "certification_date": "2026-09-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "TX",
            "license": "40538",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Clayton James Sanders, M.D.
• Crystal Marie Sanders, OTR
• Donald Ray Sanders, CTRS
• Donna Lee Sanders, ACNP
• Dori Sanders
• Joanna Gail Sanders, FNP
• Jocelyn Michele Sanders, P.T.
• K'la Sanders, RBT
• Michael Blake Sanders, MD
• Kelly Sandifer

• Clinical Psychologist in Plano, TX
• Providers in Plano, TX by specialty
• Clinical Psychologist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 30, 2026; 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.

Verify at the official NPI Registry.