Active NPI
Laura Bryn Sanders, PSYD, LLP
- Clinical Psychologist
- Bloomfield Hills, MI
National Provider Identifier
1679722243
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- 6301015227
- Practice address
- 3910 Telegraph Rd Ste 202
Bloomfield Hills, MI 48302-1461 - Phone
- (248) 342-7927
- NPI assigned
- Sep 18, 2008
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | 6301015227 | MI | Primary |
Addresses
Primary practice location
3910 Telegraph Rd Ste 202
Bloomfield Hills, MI 48302-1461
Mailing address
3910 Telegraph Rd Ste 202
Bloomfield Hills, MI 48302-1461
Phone (248) 342-7927
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 6301015227 | MI | MD | Clinical Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1221696000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1422316800000",
"number": "1679722243",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3910 TELEGRAPH RD STE 202",
"city": "BLOOMFIELD HILLS",
"state": "MI",
"postal_code": "483021461",
"telephone_number": "248-342-7927"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3910 TELEGRAPH RD STE 202",
"city": "BLOOMFIELD HILLS",
"state": "MI",
"postal_code": "483021461",
"telephone_number": "248-342-7927"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SANDERS",
"first_name": "LAURA",
"middle_name": "BRYN",
"credential": "PSYD, LLP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-09-18",
"last_updated": "2015-01-27",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "MI",
"license": "6301015227",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Bloomfield Hills, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 27, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.