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Sandra Sanderson , EDS

Psychologist - School β€’ Jackson, WY

Active NPI 1013451863 Individual Practitioner Female Practitioner
Practice location in NPPES

140 E Broadway Ave # 13
Jackson, WY 83001

Call 3074136528 Location details and other listings
Medical Disclaimer

This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.

Practice Location & Contact Primary Location

Practice Address

140 E Broadway Ave # 13

Jackson, WY 83001

Telephone 3074136528
Organization at the Same NPPES Address or Phone
La Familia Counseling Services Facility NPI 1053771287

Matched by practice address or phone in NPPES. A shared address or phone does not confirm that this clinician works there.

Other Listings in Public Data

NPPES lists 1 additional practice-address record in Rock Springs, WY. See the list

Source: CMS NPPES NPI Registry, practice location records; release date unavailable.

Listings do not confirm current availability, employment or a shared ownership network.

NPI first issued

2016

The year this clinician's National Provider Identifier (NPI) was issued. An NPI is a unique 10-digit ID that US health care providers use for billing.

What this does not show: NPI first issued

NPIs have been issued only since 2005, so this year is not necessarily when the clinician started practicing.

Source: CMS NPPES NPI Registry.

Medicare assignment not listed

CMS data do not show whether this clinician accepts Medicare assignment. This does not mean they do not accept Medicare. Ask the office.

Medicare assignment applies to Original Medicare. It does not tell you whether the clinician is in a Medicare Advantage plan's network, accepts other insurance, or is taking new patients.

Source: CMS Doctors and Clinicians; Medicare.gov, β€œDoes your provider accept Medicare as full payment?”

Guide: What Medicare assignment means

No telehealth indicator

CMS shows this indicator only when recent Medicare claims include telehealth services. The clinician may still offer telehealth; ask the office.

Source: CMS, Telehealth Indicator on Medicare Care Compare (fact sheet, January 2023); CMS Doctors and Clinicians.

Guide: How Medicare covers telehealth

Compared with the same specialty in Jackson and Wyoming

2 active clinicians are listed under Psychologist - School with a practice address in Jackson, WY (20 in Wyoming).

Addresses are self-reported to NPPES and may be out of date.

Sources: CMS Doctors and Clinicians, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.

Text: T-MedInfo Β· Report an error.

Specialties & License Numbers Reported to NPPES

Self-certified to NPPES: 2019-12-26
Psychologist - School Primary Specialty

NUCC Taxonomy Code: 103TS0200X

License # reported to NPPES WY PTSB70891

A psychologist whose specialty is concerned with the science and practice of psychology with children, youth, families; learners of all ages; and the schooling process. The basic education and training of school psychologists prepares them to provide a range of psychological diagnosis, assessment, intervention, prevention, health promotion, and program development and evaluation services with a special focus on the developmental processes of children and youth within the context of schools, families and other systems. School psychologists are prepared to intervene at the individual and system level, and develop, implement, and evaluate preventive programs. In these efforts, they conduct ecologically valid assessments and intervene to promote positive learning environments within which children and youth from diverse backgrounds to ensure that all have equal access to effective educational and psychological services that promote healthy development

Counselor - Mental Health

NUCC Taxonomy Code: 101YM0800X

License # reported to NPPES WY PPC-953
Check License Status with the State Board License numbers are self-reported to NPPES; T-MedInfo does not confirm them against state records. Current status: Wyoming State Medical Licensing Board.
Look Up on State Board Site

Secondary Practice Locations

2001 Dewar Dr, #270

Rock Springs, WY 829015773

Phone: 3073823058

Career & Practice History Timeline

Changes recorded in monthly NPPES data files: addresses, names, credentials, specialties and NPI status

8 Historical Events
πŸ“
Updated Practice Location June 12, 2018

Registered at 140 E BROADWAY AVE # 13, JACKSON, WY 83001 (Tel: 3074136528)

πŸ“
Updated Business Mailing Address June 12, 2018

Registered at PO BOX 1527, AFTON, WY 831101527 (Tel: 3074134276)

βœ…
NPI Profile Active December 13, 2016

NPI status registered as active in NPPES database

πŸ“
Practice Location (Initial Record) December 13, 2016

Registered at 2001 DEWAR DR, #270, ROCK SPRINGS, WY 829015773 (Tel: 3073823058)

πŸ“
Business Mailing Address (Initial Record) December 13, 2016

Registered at 2227 REAGAN AVE, #201, ROCK SPRINGS, WY 829014471

πŸ‘€
Provider Name / Credentials (Initial Record) December 13, 2016

Recorded as SANDRA SANDERSON, ED.S

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) December 13, 2016

Counselor (license number reported to NPPES: WY PPC-953)

🟒
Initial NPI Registration & Enumeration December 13, 2016

First registered as active Individual Practitioner in NPPES Database.

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NPI Administrative Meta

NPI Number: 1013451863
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: December 13, 2016
Last Update: December 26, 2019
Sole Proprietor: No

Mailing Address

Po Box 1527

Afton, WY 831101527

Phone: 3074134276

About This Data NPPES fields (address, phone, specialty, license) are self-reported and may be outdated; Medicare fields follow the CMS dataset named in each section. Correct directly at NPPES.