Active NPI
Yvonne Peterson Sanders
- Psychoanalysis Psychologist
- Snellville, GA
National Provider Identifier
1972292902
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychoanalysis Psychologist
- License
- 37844001
- Practice address
- 3190 Ashly Brooke Dr
Snellville, GA 30078-4528 - Phone
- (219) 218-3737
- NPI assigned
- May 4, 2023
- 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 |
|---|---|---|---|---|
| Psychoanalysis Psychologist | 103TP0814X | 37844001 | Primary |
Addresses
Primary practice location
3190 Ashly Brooke Dr
Snellville, GA 30078-4528
Mailing address
3190 Ashly Brooke Dr
Snellville, GA 30078-4528
Phone (219) 218-3737
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)
- Not enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1683158400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1683158400000",
"number": "1972292902",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3190 ASHLY BROOKE DR",
"city": "SNELLVILLE",
"state": "GA",
"postal_code": "300784528",
"telephone_number": "219-218-3737"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3190 ASHLY BROOKE DR",
"city": "SNELLVILLE",
"state": "GA",
"postal_code": "300784528",
"telephone_number": "219-218-3737"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PETERSON SANDERS",
"first_name": "YVONNE",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2023-05-04",
"last_updated": "2023-05-04",
"certification_date": "2023-05-04",
"status": "A"
},
"taxonomies": [
{
"code": "103TP0814X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Psychologist, Psychoanalysis",
"state": null,
"license": "37844001",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Snellville, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 4, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.