David Lonnie Sandefer, PH.D.

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

566 Issued in AL

Practice address

6324 Woodmere Blvd
Montgomery, AL 36117-2537

Phone

(334) 272-3889

NPI assigned

Feb 24, 2012

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)

Enrolled

Credentials

Doctor of Philosophy

State licenses

Practice roles

Locations

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.

• David D Hall DO PC

  • Mental Health Counselor
  • Montgomery, AL
  • NPI 1730298340
  NPD
• Behavioral Medicine LLC

  • Mental Health Counselor
  • Montgomery, AL
  • NPI 1326423781
  NPD (past)

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

{
    "created_epoch": "1330041600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1355011200000",
    "number": "1609140441",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3852 ORLEANS RD",
            "city": "MOUNTAIN BRK",
            "state": "AL",
            "postal_code": "352435639",
            "telephone_number": "205-967-0844"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6324 WOODMERE BLVD",
            "city": "MONTGOMERY",
            "state": "AL",
            "postal_code": "361172537",
            "telephone_number": "334-272-3889"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SANDEFER",
        "first_name": "DAVID",
        "middle_name": "LONNIE",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2012-02-24",
        "last_updated": "2012-12-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "AL",
            "license": "566",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sams East Inc
• Gilberto Sanchez, MD
• Leah Ouano Sanchez, MD
• Marla Sofia Sanchez
• Milo Sanda Jr., DO
• Danielle Sanders, CRNP
• Hollie Nicole Sanders, CRNA
• Johnnie Sanders, FFT, ECC, NBCC, LPC
• Marian Denise Sanders, MSW, BSW
• Tela S Sanders

• Clinical Psychologist in Montgomery, AL
• Providers in Montgomery, AL by specialty
• Clinical Psychologist in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 9, 2012; 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.