Richard Louis Sanok, PH.D.

Primary specialty

PsychologistTaxonomy code 103T00000X

License

6301002590 Issued in MI

Practice address

500 S Union St
Suite 4
Traverse City, MI 49684-3290

Phone

(231) 929-2600

Fax

(231) 929-7760

NPI assigned

Oct 17, 2010

Last updated

Oct 17, 2010By the provider in NPPES

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

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Manistee Benzie Community Mental Health

  dba Centra Wellness Network

  • Primary Care Clinic/Center
  • Manistee, MI
  • NPI 1366806432
  NPD (past)

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

{
    "created_epoch": "1287273600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1287273600000",
    "number": "1780994319",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "500 S UNION ST",
            "address_2": "SUITE 4",
            "city": "TRAVERSE CITY",
            "state": "MI",
            "postal_code": "496843290",
            "telephone_number": "231-929-2600",
            "fax_number": "231-929-7760"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "500 S UNION ST",
            "address_2": "SUITE 4",
            "city": "TRAVERSE CITY",
            "state": "MI",
            "postal_code": "496843290",
            "telephone_number": "231-929-2600",
            "fax_number": "231-929-7760"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SANOK",
        "first_name": "RICHARD",
        "middle_name": "LOUIS",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2010-10-17",
        "last_updated": "2010-10-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "MI",
            "license": "6301002590",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Brittany Sanderson
• Jessica Marie Sandoval
• Rachel Marie Sandoval
• Kurt Sanford, M.D.
• Maryellen Sanok, RN,MSN,FNP-C
• Kaitlyn Marie Santiago
• Tania M.D. Santos, PT
• Rebecca Sarin
• Meghan Sarna
• Samuel George Sarns, M.A.

• Psychologist in Traverse City, MI
• Providers in Traverse City, MI by specialty
• Psychologist in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 17, 2010; 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.