| Sanderson Psychological, Llc | |
|
95 Enterprise St Suite 104 Elizabeth PA 15037-2070 | |
| (412) 370-4848 | |
| (412) 754-2006 |
| Full Name | Sanderson Psychological, Llc |
|---|---|
| Speciality | Community/Behavioral Health |
| Location | 95 Enterprise St, Elizabeth, Pennsylvania |
| Authorized Official Name and Position | Brooke Nicole Sanderson (PRESIDENT) |
| Authorized Official Contact | 4123704848 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Sanderson Psychological, Llc 95 Enterprise St Suite 104 Elizabeth PA 15037-2070 Ph: (412) 370-4848 | Sanderson Psychological, Llc 95 Enterprise St Suite 104 Elizabeth PA 15037-2070 Ph: (412) 370-4848 |
| NPI Number | 1699212431 |
|---|---|
| Provider Enumeration Date | 01/31/2017 |
| Last Update Date | 05/11/2017 |
| Medicare PECOS PAC ID | 0941572184 |
|---|---|
| Medicare Enrollment ID | O20170822003793 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1699212431 | NPI | - | NPPES |
| 1871842591 | Other | PA | NPI INDIVIDUAL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | PC006524 (Pennsylvania) | Secondary |
| 251S00000X | Community/behavioral Health | PS018190 (Pennsylvania) | Primary |
| Provider Name | Brooke Nicole Sanderson |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1871842591 PECOS PAC ID: 6204108442 Enrollment ID: I20170822003900 |
| Provider Name | Christine M Kalinik |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1679979462 PECOS PAC ID: 3072904713 Enrollment ID: I20220106001969 |
| Provider Name | Noel Suzanne Maurizi |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1811733215 PECOS PAC ID: 2668906991 Enrollment ID: I20241108003810 |
| Provider Name | Bobbi Jo Witham |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1619165347 PECOS PAC ID: 4486183456 Enrollment ID: I20250122000031 |
| Provider Name | Lesa Lenda Parker |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1568681674 PECOS PAC ID: 7416487954 Enrollment ID: I20250212002956 |
| Provider Name | Nicole Tachoir |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1871280263 PECOS PAC ID: 3274053509 Enrollment ID: I20250218000138 |
| Provider Name | Stephanie Gail Briskin |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1851635544 PECOS PAC ID: 6002339413 Enrollment ID: I20250326002826 |
| Provider Name | Abigail Audenried |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1710599147 PECOS PAC ID: 5698285609 Enrollment ID: I20250610000023 |
Minyon Counseling & Psychological Consulting, Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1200 Swiss Way, Elizabeth, PA 15037 Phone: 412-405-1721 |