Jennifer S. Sanderson, PSY.D.

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

PY8878 Issued in FL

Practice address

12955 Biscayne Blvd
Suite 203
North Miami, FL 33181-2037

Phone

(954) 465-1633

NPI assigned

Jan 23, 2014

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

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.

• Nicole Valdes, PH.D. and Associates, PA

  • Clinical Psychologist
  • North Miami, FL
  • NPI 1467827675
  NPD (past)

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

{
    "created_epoch": "1390435200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1390435200000",
    "number": "1427471663",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9495 EVERGREEN PL",
            "address_2": "APT. 301",
            "city": "DAVIE",
            "state": "FL",
            "postal_code": "333244353",
            "telephone_number": "954-294-7428"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12955 BISCAYNE BLVD",
            "address_2": "SUITE 203",
            "city": "NORTH MIAMI",
            "state": "FL",
            "postal_code": "331812037",
            "telephone_number": "954-465-1633"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SANDERSON",
        "first_name": "JENNIFER",
        "middle_name": "S.",
        "name_prefix": "Dr.",
        "credential": "PSY.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-01-23",
        "last_updated": "2014-01-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "FL",
            "license": "PY8878",
            "primary": true
        },
        {
            "code": "103TM1800X",
            "taxonomy_group": "",
            "desc": "Psychologist, Intellectual & Developmental Disabilities",
            "state": "FL",
            "license": "PY8878",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Naomi Saltes, DC
• Saltzman, Tanis, Pittell, Levin and Jacobson, LLC
• Ivan Sanchez Garcia
• Jorge Alexander Sanchez Gordillo, RBT
• Krystal Sanchez, CRNA
• Milena Sandoval Arencibia
• Sandrino Pediatric Care Centers, LLC
• Jennifer Sanon Azemar
• Henry R Sanon, DC
• Cheyli Santana

• Clinical Psychologist in North Miami, FL
• Providers in North Miami, FL by specialty
• Clinical Psychologist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 23, 2014; 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.