Active NPI
Christopher Edwin Sanders, PH.D.
- Clinical Psychologist
- Omaha, NE
National Provider Identifier
1932387214
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- PSY 20797
- Practice address
- 6910 Pacific St Ste 320
Omaha, NE 68106-1044 - Phone
- (831) 402-7610
- NPI assigned
- Feb 8, 2008
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | PSY 20797 | CA | Primary |
| Clinical Psychologist | 103TC0700X | 927 | NE |
Addresses
Primary practice location
6910 Pacific St Ste 320
Omaha, NE 68106-1044
Mailing address
501 Lighthouse Ave Apt 11
Monterey, CA 93940-1467
Phone (831) 402-7610
Other practice location 1
222 Forest Ave
Pacific Grove, CA 93950-3319
Phone (800) 652-9604
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NE, CA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Clinical Psychologist
- Education
- Other, 2003
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
6910 Pacific St
Suite 320
Omaha, NE 68106-1044
Phone (831) 402-7610
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- HHS exclusion list flag
- Flagged The directory lists this NPI on an HHS exclusion list.
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PSY 20797 | CA | MD | Clinical Psychologist |
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 and National Provider Directory roles.
-
- Clinical Psychologist
- Newport Beach, CA
- NPI 1427128156
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1202428800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1657843200000",
"number": "1932387214",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "501 LIGHTHOUSE AVE APT 11",
"city": "MONTEREY",
"state": "CA",
"postal_code": "939401467",
"telephone_number": "831-402-7610"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6910 PACIFIC ST STE 320",
"city": "OMAHA",
"state": "NE",
"postal_code": "681061044",
"telephone_number": "831-402-7610"
}
],
"practiceLocations": [
{
"address_1": "222 Forest Ave",
"address_purpose": "LOCATION",
"city": "Pacific Grove",
"state": "CA",
"postal_code": "939503319",
"country_code": "US",
"telephone_number": "800-652-9604",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "SANDERS",
"first_name": "CHRISTOPHER",
"middle_name": "EDWIN",
"name_prefix": "Dr.",
"credential": "PH.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2008-02-08",
"last_updated": "2022-07-15",
"certification_date": "2022-07-15",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "CA",
"license": "PSY 20797",
"primary": true
},
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "NE",
"license": "927",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Omaha, NE
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 15, 2022; 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.