MR. MICHAEL P SANDERSON CSAC
NPI 1104121987
Counselor - Addiction (Substance Use Disorder) in Phillips, WI

Active since January 25, 2011
548 N LAKE AVE, PHILLIPS, WI 54555(715) 339-6453(715) 339-6450 Get Directions Write a Review

NPPES record last updated: January 26, 2011. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Mr. Michael P Sanderson Csac NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MR. MICHAEL P SANDERSON CSAC (NPI 1104121987) is an individual addiction (substance use disorder) provider in Phillips, Wisconsin, licensed in Wisconsin (246132) and active in the NPI registry since January 2011.

NPPES Registry Identity

NPI1104121987
Entity TypeIndividualMale
Primary Taxonomy101YA0400X
Provider Legal NameMR. MICHAEL P SANDERSONCredential: CSAC
Location Address548 N LAKE AVEPhillips, WI 54555-1028
Mailing Address548 N Lake AvePhillips, WI 54555-1028 · (715) 339-6453 · Fax (715) 339-6450
Fax(715) 339-6450
Sole ProprietorNo
Enumeration DateJanuary 25, 2011
Last NPPES UpdateJanuary 26, 2011
NPI 1104121987 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyCounselor · Addiction (Substance Use Disorder)Behavioral Health & Social Service Providers
Taxonomy Code101YA0400X
License Licensed in WI · 246132
548 N LAKE AVE, Phillips, WI 54555

Other Providers at the Same Location NPPES 6

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Community/Behavioral Health
548 N LAKE AVE
PHILLIPS, WI 54555
Social Worker (Clinical)
548 N LAKE AVE
PHILLIPS, WI 54555
Registered Nurse
548 N LAKE AVE
PHILLIPS, WI 54555
Social Worker (Clinical)
548 N LAKE AVE
PHILLIPS, WI 54555
Registered Nurse (Psychiatric/Mental Health)
548 N LAKE AVE
PHILLIPS, WI 54555
Community/Behavioral Health
548 N LAKE AVE
PHILLIPS, WI 54555

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Michael Sanderson's NPI number?

The NPI number for Michael Sanderson is 1104121987. It was assigned to this individual provider in the NPPES registry on January 25, 2011.

Where is Michael Sanderson located?

Michael Sanderson practices at 548 N Lake Ave, Phillips, WI 54555. The listed phone number is (715) 339-6453.

What is Michael Sanderson's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Addiction (Substance Use Disorder), with taxonomy code 101YA0400X.

When was this NPI record last updated?

The NPPES record for Michael Sanderson was last updated on January 26, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.