DR. SUSAN L SANDERSON (NPI# 1487717963) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1487717963 |
| Entity Type | Individual |
| Full Name | DR. SUSAN L SANDERSON |
| Credential | PH.D |
| Practice Address |
7400 Highway N O Fallon MO 63368-7013 |
| Mailing Address |
311 Nautica Ln Lake St Louis MO 63367-2658 |
| Practice Telephone | 6365617080 |
| Practice Fax Number | 6365610463 |
| Mailing Telephone | 6365611788 |
| Mailing Fax Number | 6365610463 |
| Enumeration Date | 2006-12-18 |
| Last Update Date | 2007-07-09 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103TC0700X |
Psychologist Specialization: Clinical |
2000166718 | MO | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MO | BLUE CROSS BLUE SHIELD | 168991 | 01 |
| MO | 495069304 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417134222 | Susan Lynn Sanderson | Internal Medicine | 3680 Nw Samaritan Dr, Corvallis, OR 97330-3737 | 2008-01-23 |
| 1225107428 | Susan K. Sanderson | Nurse Practitioner | 100 N Medical Dr, Salt Lake City, UT 84113-1103 | 2006-11-06 |
| Street Address |
7400 HIGHWAY N |
| City | O FALLON |
| State | MO |
| Zip Code | 63368-7013 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356669881 | Keisha Suenelle Ross | Psychologist | 7400 Highway N, O Fallon, MO 63368-7013 | 2010-05-07 |
| 1508192337 | Heidi Sue Sikma | Counselor | 7400 Highway N, O Fallon, MO 63368-7013 | 2009-10-29 |
| 1033354501 | Lisa D Mcgrath | Psychologist | 7400 Highway N, O Fallon, MO 63368-7013 | 2008-12-11 |
| 1467515817 | Terese W Evans | Counselor | 7400 Highway N, O Fallon, MO 63368-7013 | 2006-12-18 |
| 1851459473 | Family Life Counseling and Psychological Services, LLC | Psychologist | 7400 Highway N, O Fallon, MO 63368-7013 | 2006-12-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134720329 | Come As You Are Counseling LLC | Counselor | 1001 Boardwalk Springs Place, Suite 111, O Fallon, MO 63368 | 2020-11-04 |
| 1770124802 | Lisa N. Greer | Technician | 6911 Brassel Dr., Ofallon, MO 63368 | 2019-09-30 |
| 1770145716 | Halie Faye Gulley | Dentist | 3009 Hwy K, O'fallon, MO 63368 | 2019-06-29 |
| 1972079556 | Erin Corsi Fraundorf | Dentist | 3009 State Hwy K, O'fallon, MO 63368 | 2018-10-22 |
| 1427579960 | Air Evac Ems, Inc. | Ambulance | 1001 Boardwalk Springs Pl Ste 250, O Fallon, MO 63368 | 2017-07-06 |
| 1528507472 | Washeck Manual Therapy LLC | Clinic/Center | 3074 Winghaven Blvd, O'fallon, MO 63368 | 2017-02-13 |
| 1639618457 | Brittany Hogan | Physical Therapist | 7412 South Outer 364, Suite B, Dardenne Prairie, MO 63368 | 2017-02-13 |
| 1124561469 | Cardinal Home Care LLC | Home Health | 18 Convent Garden Ct, O'fallon, MO 63368 | 2016-11-18 |
| 1336509272 | Sarah Marie Mudd | Counselor | 1654 Bryan Road, O'fallon, MO 63368 | 2016-03-04 |
| 1588023956 | Price-bourisaw Family Chiropractic | Chiropractor | 2917 State Highway K, O Fallon, MO 63368 | 2016-02-15 |
| Find all providers in zip 63368 | ||||
| Taxonomy Code | 103TC0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Clinical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427520352 | Creating Peace of Mind Cognitive Behavioral Health-llc | Psychologist | 7 Eagle Ctr Ste I, O Fallon, IL 62269-1946 | 2018-12-17 |
| 1073581781 | Laura Middleton | Psychologist | 1669 Windham Way, Suite B, O Fallon, IL 62269-3072 | 2006-03-09 |
| 1356669881 | Keisha Suenelle Ross | Psychologist | 7400 Highway N, O Fallon, MO 63368-7013 | 2010-05-07 |
| 1033354501 | Lisa D Mcgrath | Psychologist | 7400 Highway N, O Fallon, MO 63368-7013 | 2008-12-11 |
| 1316198294 | Cara Newman | Psychologist | 1137 N Main St, # 2, O Fallon, MO 63366-1498 | 2008-10-09 |
| 1518092493 | Sheila L. Kleinman, Ph.d., P.C. | Psychologist | 822 W State St, O Fallon, IL 62269-1808 | 2007-02-22 |
| 1194879288 | Craig Lotz | Psychologist | 310 N Seven Hills Rd, O Fallon, IL 62269-4111 | 2007-01-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053911370 | Sarah Marie Whitman | Psychologist | 500 Huber Park Ct Ste 205, Weldon Spring, MO 63304-8683 | 2020-10-27 |
| 1215541040 | Charles A Burgess | Psychologist | 119 Parker Hall, Columbia, MO 65211-2340 | 2020-08-31 |
| 1184242810 | Kristen Casey | Psychologist | 4050 Pennsylvania Ave Ste 115, Pmb 2746, Kansas City, MO 64111 | 2020-07-09 |
| 1174147649 | Melissa Turkel | Psychologist | 915 N Grand Blvd # 116-jc, Saint Louis, MO 63106-1621 | 2020-06-01 |
| 1851910335 | Columbia Psychology Healing Center LLC | Psychologist | 1900 N Providence Rd Ste 327, Columbia, MO 65202-3710 | 2020-04-14 |
| 1629600085 | Dr Richard Heise LLC | Psychologist | 10621 Midland Manor Ct, Saint Louis, MO 63114-1202 | 2020-02-04 |
| 1598302226 | Taylor Montgomery | Psychologist | 12837 Flushing Meadows Dr Ste 220, Saint Louis, MO 63131-1824 | 2019-12-02 |
| 1528523420 | Daniel Franco | Psychologist | 4501 Kentsfield Ln, Columbia, MO 65201-3587 | 2019-02-05 |
| 1265917884 | Gillian Sloane Mayersohn | Psychologist | 1 Childrens Pl Ste 3n14, Saint Louis, MO 63110-1002 | 2018-09-28 |
| 1215421581 | Samuel L Kramer | Psychologist | 16216 Baxter Rd Ste 205, Chesterfield, MO 63017-4778 | 2018-06-19 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.