Anthony Joro Sanders, MA, TLLP, DP-C

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

6362009844 Issued in MI

Practice address

54 Seneca St
Pontiac, MI 48342-2349

Phone

(248) 836-0191

Fax

(248) 836-0199

NPI assigned

Oct 18, 2023

Sex

Male

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

Credentials

Master of Arts

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.

• Richard Kneip, PH.D., P.C.

  • Community/Behavioral Health Agency
  • Clarkston, MI
  • NPI 1679739700
  NPD (past)

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

{
    "created_epoch": "1697587200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1697587200000",
    "number": "1437931052",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "53323 REBECCA DR",
            "city": "MACOMB",
            "state": "MI",
            "postal_code": "480425734",
            "telephone_number": "586-676-7818"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "54 SENECA ST",
            "city": "PONTIAC",
            "state": "MI",
            "postal_code": "483422349",
            "telephone_number": "248-836-0191",
            "fax_number": "248-836-0199"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SANDERS",
        "first_name": "ANTHONY",
        "middle_name": "JORO",
        "credential": "MA, TLLP, DP-C",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2023-10-18",
        "last_updated": "2023-10-18",
        "certification_date": "2023-10-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "MI",
            "license": "6362009844",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sanjyot Ujwal Salvi
• Shahzad Ahmed Sami, MD
• Syeda Daniya Samreen
• Maria Eugenia Sanchez
• Benjamin Sanderford, DO
• Amar Sandhu, DO
• Ramneek Kaur Sandhu, M.D.
• Jonathon Frederick Sandretto
• Natalie Santa
• Susana Santos, D.O.

• Clinical Psychologist in Pontiac, MI
• Providers in Pontiac, MI by specialty
• Clinical Psychologist in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 18, 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.