Individual provider Active NPI

Lawrence I Sank, PH.D.

  • Clinical Psychologist
  • Bethesda, MD
National Provider Identifier
1699041392
Registry record updated Mar 27, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
717 Issued in MD
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

Updated by the provider on Mar 27, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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
Green means eligible to order or refer.
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

LicenseStateTypeSpecialty
717MDMDClinical Psychologist

Practice roles

OrganizationSpecialtyStatusNew 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

Verify at the official NPI Registry.