Individual provider Active NPI

Thomas R. Saunders, PH.D.

  • Psychologist
  • New Smyrna Beach, FL
National Provider Identifier
1952562274
Registry record updated Jul 6, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
8041 Issued in FL
Practice address
136 Julia St Unit 100
New Smyrna Beach, FL 32168-7713
Phone
(386) 423-9161
Fax
(386) 423-3094
NPI assigned
Jun 19, 2008
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 6, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Psychologist 103T00000X 00663 MD
Psychologist 103T00000X 8041 FL Primary

Addresses

Primary practice location

136 Julia St Unit 100
New Smyrna Beach, FL 32168-7713

Mailing address

136 Julia St Unit 100
New Smyrna Beach, FL 32168-7713
Phone (386) 423-9161

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

LicenseStateTypeSpecialty
8041FLMDPsychologist
00663MDMDPsychologist

Practice roles

OrganizationSpecialtyStatusNew patients
T. Richard Saunders, PH.D., P.a. Psychologist PastSince Nov 1, 1982 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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1213833600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1593993600000",
    "number": "1952562274",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "136 JULIA ST UNIT 100",
            "city": "NEW SMYRNA BEACH",
            "state": "FL",
            "postal_code": "321687713",
            "telephone_number": "386-423-9161",
            "fax_number": "386-423-3094"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "136 JULIA ST UNIT 100",
            "city": "NEW SMYRNA BEACH",
            "state": "FL",
            "postal_code": "321687713",
            "telephone_number": "386-423-9161",
            "fax_number": "386-423-3094"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SAUNDERS",
        "first_name": "THOMAS",
        "middle_name": "R.",
        "credential": "PH.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-06-19",
        "last_updated": "2020-07-06",
        "certification_date": "2020-07-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "MD",
            "license": "00663",
            "primary": false
        },
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "FL",
            "license": "8041",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New Smyrna Beach, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 6, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.