Individual provider Active NPI

Dorothy Chandler Saynisch, PHD

  • Psychologist
  • Haddonfield, NJ
National Provider Identifier
1588779219
Registry record updated Nov 4, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
35SI00193800 Issued in NJ
Practice address
36 Tanner St
Suite B
Haddonfield, NJ 08033-2494
Phone
(856) 429-3930
Fax
(856) 429-3930
NPI assigned
Aug 21, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 4, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Psychologist 103T00000X PS004154L PA
Psychologist 103T00000X 35SI00193800 NJ Primary

Addresses

Primary practice location

36 Tanner St
Suite B
Haddonfield, NJ 08033-2494

Mailing address

36 Tanner St
Suite 120
Haddonfield, NJ 08033-2494
Phone (856) 429-3930

Other identifiers 4

IdentifierTypeStateIssuer
0102316000OtherAMERIHEALTH
011215000OtherMAGELLAN
051823OtherVALUE OPTIONS
4502255OtherAETNA

Other names 1

  • Dr. Dorothy E Chandler Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20180522003220 NJ Practitioner - Clinical Psychologist 9830451822 Practice locations: Haddonfield, NJ

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 1984
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

36 Tanner St
Suite 120
Haddonfield, NJ 08033-2494
Phone (856) 429-3930

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
35SI00193800NJMDPsychologist
PS004154LPAMDPsychologist

NPI Registry JSON

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

{
    "created_epoch": "1156118400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1730678400000",
    "number": "1588779219",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "36 TANNER ST",
            "address_2": "SUITE 120",
            "city": "HADDONFIELD",
            "state": "NJ",
            "postal_code": "080332494",
            "telephone_number": "856-429-3930",
            "fax_number": "856-429-3930"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "36 TANNER ST",
            "address_2": "SUITE B",
            "city": "HADDONFIELD",
            "state": "NJ",
            "postal_code": "080332494",
            "telephone_number": "856-429-3930",
            "fax_number": "856-429-3930"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SAYNISCH",
        "first_name": "DOROTHY",
        "middle_name": "CHANDLER",
        "name_prefix": "Dr.",
        "credential": "PHD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-08-21",
        "last_updated": "2024-11-04",
        "certification_date": "2024-11-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "PA",
            "license": "PS004154L",
            "primary": false
        },
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "NJ",
            "license": "35SI00193800",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AMERIHEALTH",
            "identifier": "0102316000",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MAGELLAN",
            "identifier": "011215000",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "VALUE OPTIONS",
            "identifier": "051823",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "4502255",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "DOROTHY",
            "last_name": "CHANDLER",
            "middle_name": "E",
            "prefix": "DR.",
            "credential": "PHD",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Haddonfield, NJ

Sources for this page

Verify at the official NPI Registry.