Rosine Lawanda Sanders, PH.D.

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

3110 Issued in NC

Practice address

3900 Barrett Dr Ste 311H
Raleigh, NC 27609-6646

Phone

(919) 332-4114

Fax

(919) 844-8104

NPI assigned

Mar 15, 2007

Last updated

Nov 4, 2010By the provider in NPPES

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

Other identifiers 1

Other names 1

• Rosine Lawanda Sanders Former name

Medicare fee-for-service enrollment

Enrolled in NC

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, 2004

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

State licenses

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

{
    "created_epoch": "1173916800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1288828800000",
    "number": "1427182021",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3900 BARRETT DR STE 311H",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276096646",
            "telephone_number": "919-332-4114",
            "fax_number": "919-844-8104"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3900 BARRETT DR STE 311H",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276096646",
            "telephone_number": "919-332-4114",
            "fax_number": "919-844-8104"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SANDERS",
        "first_name": "ROSINE",
        "middle_name": "LAWANDA",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-03-15",
        "last_updated": "2010-11-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "NC",
            "license": "3110",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "6000766",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ROSINE",
            "last_name": "SANDERS",
            "middle_name": "LAWANDA",
            "credential": "PH.D.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Kyandra Sanders
• Laura Sanders, MPH, RDN
• Lornita Sanders
• Mark F Sanders, RPH
• Nikki Arlett Sanders
• Summer Nicole Sanders
• Sweetly Togba Sanders, MSW, LCSWA
• Tracie Ann Sanders
• Ritu Raj Sandhu, M.D.
• Meredith Sandidge

• Clinical Psychologist in Raleigh, NC
• Providers in Raleigh, NC by specialty
• Clinical Psychologist in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 4, 2010; 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.