Active NPI
Lawrence I Sank, PH.D.
- Clinical Psychologist
- Bethesda, MD
National Provider Identifier
1699041392
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- 717
- Practice address
- 6310 Winston Dr
Bethesda, MD 20817-5833 - Phone
- (301) 229-3131
- Fax
- (310) 229-3066
- NPI assigned
- Mar 27, 2012
- Sex
- Male
- 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 | 717 | MD | Primary |
Addresses
Primary practice location
6310 Winston Dr
Bethesda, MD 20817-5833
Mailing address
6310 Winston Dr
Bethesda, MD 20817-5833
Phone (301) 229-3131
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
- Opted out of Medicare
- Yes, effective Apr 1, 2014 through Apr 1, 2028
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 717 | MD | MD | Clinical Psychologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| DRS. Shaffer & Sank, P.C. | Clinical | Past | Accepting new patients |
Organizations & group practices 1
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": "1332806400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1332806400000",
"number": "1699041392",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6310 WINSTON DR",
"city": "BETHESDA",
"state": "MD",
"postal_code": "208175833",
"telephone_number": "301-229-3131",
"fax_number": "301-229-3066"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6310 WINSTON DR",
"city": "BETHESDA",
"state": "MD",
"postal_code": "208175833",
"telephone_number": "301-229-3131",
"fax_number": "310-229-3066"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SANK",
"first_name": "LAWRENCE",
"middle_name": "I",
"name_prefix": "Dr.",
"credential": "PH.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2012-03-27",
"last_updated": "2012-03-27",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "MD",
"license": "717",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Bethesda, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 27, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.