Active NPI
Kathryn J. Sanborn, PHD
- Psychologist
- Orchard Park, NY
National Provider Identifier
1841489697
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- License
- 017138-1
- Practice address
- 21 Princeton PL.
Suite 100
Orchard Park, NY 14127 - Phone
- (716) 539-9232
- Fax
- (719) 539-9230
- NPI assigned
- Oct 17, 2007
- Last updated
- Mar 14, 2013
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Psychologist | 103T00000X | 017138-1 | NY | Primary |
Addresses
Primary practice location
21 Princeton PL.
Suite 100
Orchard Park, NY 14127
Mailing address
21 Princeton PL.
Suite 100
Orchard Park, NY 14127
Phone (716) 539-9232
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
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 017138-1 | NY | MD | Psychologist |
| 017138 | NY | MD | Speech-Language Pathologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Anthony F Bongiovanni | 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Clinical Psychologist
- Amherst, NY
- NPI 1003457698
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1192579200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1363219200000",
"number": "1841489697",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "21 PRINCETON PL.",
"address_2": "SUITE 100",
"city": "ORCHARD PARK",
"state": "NY",
"postal_code": "14127",
"telephone_number": "716-539-9232",
"fax_number": "719-539-9230"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "21 PRINCETON PL.",
"address_2": "SUITE 100",
"city": "ORCHARD PARK",
"state": "NY",
"postal_code": "14127",
"telephone_number": "716-539-9232",
"fax_number": "719-539-9230"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SANBORN",
"first_name": "KATHRYN",
"middle_name": "J.",
"name_prefix": "Dr.",
"credential": "PHD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-10-17",
"last_updated": "2013-03-14",
"status": "A"
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "NY",
"license": "017138-1",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Orchard Park, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 14, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.