Active NPI
Daniel W Sanders, PH.D.
- Clinical Psychologist
- Fairlawn, OH
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- 3830
- Practice address
- 2680 West Market Street
Fairlawn, OH 44333-4215 - Phone
- (234) 867-5001
- NPI assigned
- Apr 20, 2006
- Last updated
- Jul 13, 2026
- 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 | 3830 | OH | Primary |
Addresses
Primary practice location
2680 West Market Street
Fairlawn, OH 44333-4215
Mailing address
2680 West Market Street
Fairlawn, OH 44333-4215
Phone (234) 867-5001
Other practice location 1
85 Community Rd
Suite F
Tallmadge, OH 44278-2356
Phone (330) 633-1206
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0716532 | Medicaid | OH | |
| 1029189-0001 | Other | OH | BWC |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OH
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Clinical Psychologist
- Education
- Other, 1984
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
85 Community Rd
Suite F
Tallmadge, OH 44278-2356
85 Community Rd F
Tallmadge, OH 44278-2356
Phone (330) 633-1206
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 3830 | OH | MD | Chiropractor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Pathways Counseling and Psychological Services, Inc. | Current | Accepting new patients |
Locations
85 Community Rd
Ste F
Tallmadge, OH 44278
Phone (330) 633-1206
Organizations & group practices 2
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.
-
- Mental Health Counselor
- Tallmadge, OH
- NPI 1689638678
-
dba Renew Counseling Ministries
- Community/Behavioral Health Agency
- Fairlawn, OH
- NPI 1154904332
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1145491200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1783900800000",
"number": "1821053729",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2680 WEST MARKET STREET",
"city": "FAIRLAWN",
"state": "OH",
"postal_code": "443334215",
"telephone_number": "234-867-5001"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2680 WEST MARKET STREET",
"city": "FAIRLAWN",
"state": "OH",
"postal_code": "443334215",
"telephone_number": "234-867-5001"
}
],
"practiceLocations": [
{
"address_1": "85 Community Rd",
"address_2": "Suite F",
"address_purpose": "LOCATION",
"city": "Tallmadge",
"state": "OH",
"postal_code": "442782356",
"country_code": "US",
"telephone_number": "330-633-1206",
"fax_number": "330-633-1364",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "SANDERS",
"first_name": "DANIEL",
"middle_name": "W",
"credential": "PH.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-04-20",
"last_updated": "2026-07-13",
"certification_date": "2026-06-30",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "OH",
"license": "3830",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0716532",
"state": "OH"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BWC",
"identifier": "1029189-0001",
"state": "OH"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Fairlawn, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.