Active NPI
John Lee Sanders, PH.D
- Clinical Psychologist
- Lexington, KY
National Provider Identifier
1700927704
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- 914
- Practice address
- 863 Bennett Ave
Lexington, KY 40508-3103 - Phone
- (859) 266-6786
- Fax
- (859) 268-0886
- NPI assigned
- Feb 11, 2007
- Sex
- Male
- Sole proprietor
- Yes
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 | 914 | KY | Primary |
Addresses
Primary practice location
863 Bennett Ave
Lexington, KY 40508-3103
Mailing address
863 Bennett Ave
Lexington, KY 40508-3103
Phone (859) 266-6786
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
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 914 | KY | MD | Clinical Psychologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Sanders and Associates | 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.
-
- Clinical Psychologist
- Lexington, KY
- NPI 1508270612
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1171152000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1401667200000",
"number": "1700927704",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "863 BENNETT AVE",
"city": "LEXINGTON",
"state": "KY",
"postal_code": "405083103",
"telephone_number": "859-266-6786",
"fax_number": "859-268-0886"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "863 BENNETT AVE",
"city": "LEXINGTON",
"state": "KY",
"postal_code": "405083103",
"telephone_number": "859-266-6786",
"fax_number": "859-268-0886"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SANDERS",
"first_name": "JOHN",
"middle_name": "LEE",
"name_prefix": "Dr.",
"credential": "PH.D",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-02-11",
"last_updated": "2014-06-02",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "KY",
"license": "914",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Lexington, KY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 2, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.