Individual provider Active NPI

Alexis Sanders, PH.D.

  • Clinical Psychologist
  • Florence, SC
National Provider Identifier
1851547335
Registry record updated Oct 2, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
1246 Issued in SC
Practice address
522 S Coit St
Florence, SC 29501-5221
Phone
(843) 621-0263
Fax
(843) 536-8522
NPI assigned
Aug 15, 2008
Last updated
Oct 2, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 2, 2025

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 1246 SC Primary

Addresses

Primary practice location

522 S Coit St
Florence, SC 29501-5221

Mailing address

522 S Coit St
Florence, SC 29501-5221
Phone (843) 621-0263

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SC

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20150129000777 SC Practitioner - Psychologist Billing Independently 5698099364 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
University of Cincinnati College of Medicine, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

522 S Coit St
Florence, SC 29501-5221
Phone (843) 621-0263

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
1246SCMDOptician

Practice roles

OrganizationSpecialtyStatusNew patients
Bask Psychological Services Clinical CurrentSince Jan 28, 2019 Accepting new patients

Locations

1516 S Langley Dr
Florence, SC 29501
Phone (843) 621-0263

314 S McQueen St
Florence, SC 29501
Phone (843) 407-4440

401 W Cheves St
Florence, SC 29501

522 S Coit St
Florence, SC 29501
Phone (843) 621-0263

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.

NPI Registry JSON

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

{
    "created_epoch": "1218758400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1759363200000",
    "number": "1851547335",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "522 S COIT ST",
            "city": "FLORENCE",
            "state": "SC",
            "postal_code": "295015221",
            "telephone_number": "843-621-0263",
            "fax_number": "843-536-8522"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "522 S COIT ST",
            "city": "FLORENCE",
            "state": "SC",
            "postal_code": "295015221",
            "telephone_number": "843-621-0263",
            "fax_number": "843-536-8522"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SANDERS",
        "first_name": "ALEXIS",
        "credential": "PH.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-08-15",
        "last_updated": "2025-10-02",
        "certification_date": "2025-10-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "SC",
            "license": "1246",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Florence, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 2, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • 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.

Verify at the official NPI Registry.