Susan K Sanders, PHD
Individual provider Active NPI Psychologist · Phillips, ME
NPI 1528088697 · NPPES record last updated Nov 15, 2012
Key facts
- NPI
- 1528088697
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Psychologist 103T00000X
- License
- PS1134 (ME)
- Practice address
- 43 Main Street
Phillips, ME 04966 - Phone
- (207) 639-2419
- Fax
- (207) 639-2305
- NPI assigned
- Jul 20, 2006
- Sex
- Female
- Sole proprietor
- Yes
Medicare Care Compare profile
- Specialty
- Clinical Psychologist
- Education
- Other, 2000
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
43 Main St
Phillips, ME 04966-4400
Phone (207) 639-2419
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in ME
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: No · Power mobility devices: No · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20051102000800 | ME | Practitioner - Clinical Psychologist | 5991723512 | Practice locations: Phillips, ME |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PS1134 | ME | MD | Psychologist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychologist | 103T00000X | PS1134 | ME | Yes |
Addresses
Primary practice location
43 Main Street
Phillips, ME 04966
Mailing address
43 Main Street
Phillips, ME 04966
Phone (207) 639-2419
Other providers in Phillips, ME
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 15, 2012. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.