Active NPI
Sarah L. Sander Psy.D.,LP, LLC
- Clinical Child & Adolescent Psychologist
- Minnetonka, MN
National Provider Identifier
1982926515
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Child & Adolescent Psychologist
- License
- LP 4437
- Legal business name
- SARAH L. SANDER PSY.D.,LP, LLC
- Practice address
- 11900 Wayzata Blvd
Suite 132
Minnetonka, MN 55305-2031 - Phone
- (952) 236-6188
- NPI assigned
- Feb 23, 2010
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Sarah Lynn Sander, PSY.D.
- Title
- President
- Phone
- (651) 331-0863
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Child & Adolescent Psychologist | 103TC2200X | LP 4437 | MN | Primary |
Addresses
Primary practice location
11900 Wayzata Blvd
Suite 132
Minnetonka, MN 55305-2031
Mailing address
11900 Wayzata Blvd
Suite 132
Minnetonka, MN 55305-2031
Phone (952) 236-6188
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1266883200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1266883200000",
"number": "1982926515",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11900 WAYZATA BLVD",
"address_2": "SUITE 132",
"city": "MINNETONKA",
"state": "MN",
"postal_code": "553052031",
"telephone_number": "952-236-6188"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11900 WAYZATA BLVD",
"address_2": "SUITE 132",
"city": "MINNETONKA",
"state": "MN",
"postal_code": "553052031",
"telephone_number": "952-236-6188"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SARAH L. SANDER PSY.D.,LP, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2010-02-23",
"last_updated": "2010-02-23",
"status": "A",
"authorized_official_last_name": "SANDER",
"authorized_official_first_name": "SARAH",
"authorized_official_middle_name": "LYNN",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "651-331-0863",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "PSY.D."
},
"taxonomies": [
{
"code": "103TC2200X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Psychologist, Clinical Child & Adolescent",
"state": "MN",
"license": "LP 4437",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Minnetonka, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 23, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.