Individual provider Active NPI

Daniel W Sanders, PH.D.

  • Clinical Psychologist
  • Fairlawn, OH
National Provider Identifier
1821053729
Registry record updated Jul 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
3830 Issued in OH
Practice address
2680 West Market Street
Fairlawn, OH 44333-4215
Phone
(234) 867-5001
NPI assigned
Apr 20, 2006
Last updated
Jul 13, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2026

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 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

IdentifierTypeStateIssuer
0716532MedicaidOH
1029189-0001OtherOHBWC

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040105000199 OH Practitioner - Clinical Psychologist 1951209899 Reassigns benefits to 2 organizations

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

LicenseStateTypeSpecialty
3830OHMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Pathways Counseling and Psychological Services, Inc. CurrentSince May 10, 1996 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.

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

Verify at the official NPI Registry.