Diana R Sanderson

Primary specialty

Child & Adolescent Psychiatry PhysicianTaxonomy code 2084P0804X

License

201554 Issued in NY

Practice address

1010 E and West Rd
West Seneca, NY 14224-3602

Phone

(716) 674-9730

NPI assigned

Mar 20, 2007

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in NY

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

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

{
    "created_epoch": "1174348800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1952426850",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1010 E AND WEST RD",
            "city": "WEST SENECA",
            "state": "NY",
            "postal_code": "142243602"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1010 E AND WEST RD",
            "city": "WEST SENECA",
            "state": "NY",
            "postal_code": "142243602",
            "telephone_number": "716-674-9730"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SANDERSON",
        "first_name": "DIANA",
        "middle_name": "R",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-03-20",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0804X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Child & Adolescent Psychiatry",
            "state": "NY",
            "license": "201554",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "201554",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Lisa Marie Ryszka, RPH
• Bethany M Sachel, PA
• Margaret Saia
• Manar Salah, NP
• Afshan Samad, M.D
• Jennifer Sands, PSYD
• Diane M Sanfilippo, MD
• Carlos A Santos, MD
• Bailey Elizabeth Saskowski, RN
• Sav-Rite Pharmacy, LLC.

• Child & Adolescent Psychiatry Physician in West Seneca, NY
• Providers in West Seneca, NY by specialty
• Child & Adolescent Psychiatry Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.