Individual provider Active NPI

Karaine L Sanders, PSY.D.

  • Clinical Child & Adolescent Psychologist
  • Jamaica, NY
National Provider Identifier
1487827374
Registry record updated Jun 25, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Child & Adolescent PsychologistTaxonomy code 103TC2200X
Practice address
11402 Guy R Brewer Blvd
Suite 216
Jamaica, NY 11434-1234
Phone
(718) 883-6652
Fax
(718) 883-6669
NPI assigned
Apr 11, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 25, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Child & Adolescent Psychologist 103TC2200X NY Primary

Addresses

Primary practice location

11402 Guy R Brewer Blvd
Suite 216
Jamaica, NY 11434-1234

Mailing address

11402 Guy R Brewer Blvd
Suite 216
Jamaica, NY 11434-1234
Phone (718) 883-6652

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

NPI Registry JSON

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

{
    "created_epoch": "1207872000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1214352000000",
    "number": "1487827374",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11402 GUY R BREWER BLVD",
            "address_2": "SUITE 216",
            "city": "JAMAICA",
            "state": "NY",
            "postal_code": "114341234",
            "telephone_number": "718-883-6652",
            "fax_number": "718-883-6669"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11402 GUY R BREWER BLVD",
            "address_2": "SUITE 216",
            "city": "JAMAICA",
            "state": "NY",
            "postal_code": "114341234",
            "telephone_number": "718-883-6652",
            "fax_number": "718-883-6669"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SANDERS",
        "first_name": "KARAINE",
        "middle_name": "L",
        "name_prefix": "Dr.",
        "credential": "PSY.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-04-11",
        "last_updated": "2008-06-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC2200X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical Child & Adolescent",
            "state": "NY",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jamaica, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 25, 2008; 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.