Individual provider Active NPI

Tahl Deboer Sendowski, PHD

  • Psychologist
  • Chapel Hill, NC
National Provider Identifier
1508004474
Registry record updated Nov 11, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
5973 Issued in NC
Practice address
205 Sage Rd Ste 201
Chapel Hill, NC 27514-6995
Phone
(919) 942-4166
NPI assigned
Jan 29, 2009
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 11, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychologist 103T00000X 5973 NC Primary

Addresses

Primary practice location

205 Sage Rd Ste 201
Chapel Hill, NC 27514-6995

Mailing address

2714 McDowell Rd
Durham, NC 27705-5716
Phone (510) 209-0363

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Opted out of Medicare
Yes, effective Nov 29, 2022 through Nov 29, 2026

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
5973NCMDPsychologist
6258NCMDVeterinarian

Practice roles

OrganizationSpecialtyStatusNew patients
Thrive Speech Pathology CurrentSince Nov 13, 2022 Accepting new patients
Dogwood Psychology Center for Children and Families Past Accepting new patients
Chapel Hill Pediatric Psychology, PA PastSince Nov 13, 2022 Accepting new patients

Locations

205 Sage Rd
Ste 201
Chapel Hill, NC 27514
Phone (919) 335-3386

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1233187200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1668124800000",
    "number": "1508004474",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2714 MCDOWELL RD",
            "city": "DURHAM",
            "state": "NC",
            "postal_code": "277055716",
            "telephone_number": "510-209-0363"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "205 SAGE RD STE 201",
            "city": "CHAPEL HILL",
            "state": "NC",
            "postal_code": "275146995",
            "telephone_number": "919-942-4166"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SENDOWSKI",
        "first_name": "TAHL",
        "middle_name": "DEBOER",
        "name_prefix": "Ms.",
        "credential": "PHD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-01-29",
        "last_updated": "2022-11-11",
        "certification_date": "2022-11-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "NC",
            "license": "5973",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chapel Hill, NC

Sources for this page

Verify at the official NPI Registry.