Active NPI
Albert E. Saunders III, PSY.D
- Clinical Psychologist
- Camp Lejeune, NC
National Provider Identifier
1841464278
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- 3725
- Practice address
- 100 Brewster Blvd
Naval Hospital
Camp Lejeune, NC 28547-2538 - Phone
- (910) 450-3905
- Fax
- (910) 450-4558
- NPI assigned
- Apr 16, 2008
- Last updated
- Apr 5, 2010
- 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 | 3725 | NC | Primary |
Addresses
Primary practice location
100 Brewster Blvd
Naval Hospital
Camp Lejeune, NC 28547-2538
Mailing address
100 Brewster Blvd
Naval Hospital
Camp Lejeune, NC 28547-2538
Phone (910) 450-3905
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 560755775 | Other | NC | TRICARE GROUP # |
| 017TF | Other | NC | BLUE CROSS GROUP # |
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 3725 | NC | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1208304000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1270425600000",
"number": "1841464278",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "100 BREWSTER BLVD",
"address_2": "NAVAL HOSPITAL",
"city": "CAMP LEJEUNE",
"state": "NC",
"postal_code": "285472538",
"telephone_number": "910-450-3905",
"fax_number": "910-450-4558"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "100 BREWSTER BLVD",
"address_2": "NAVAL HOSPITAL",
"city": "CAMP LEJEUNE",
"state": "NC",
"postal_code": "285472538",
"telephone_number": "910-450-3905",
"fax_number": "910-450-4558"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SAUNDERS",
"first_name": "ALBERT",
"middle_name": "E.",
"name_prefix": "Dr.",
"name_suffix": "III",
"credential": "PSY.D",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2008-04-16",
"last_updated": "2010-04-05",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "NC",
"license": "3725",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "TRICARE GROUP #",
"identifier": "560755775",
"state": "NC"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS GROUP #",
"identifier": "017TF",
"state": "NC"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Camp Lejeune, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 5, 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.