DR. KELLEY CHRISTINE SANDERS PH.D., CAP
NPI 1366788606
Psychologist - Clinical in Jacksonville, FL

Q: What is Kelley Sanders's NPI number?

The NPI number for Kelley Sanders is 1366788606. It was assigned to this individual provider in the NPPES registry on December 13, 2012.

Q: What is Kelley Sanders's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Clinical, with taxonomy code 103TC0700X.

Q: When was this NPI record last updated?

The NPPES record for Kelley Sanders was last updated on February 2, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 months 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.

Active since December 13, 2012

2023 TATUM AVENUE, BUILDGING H, ROOM #110A, JACKSONVILLE, FL 32214(904) 546-6302 Get Directions Write a Review

NPPES record last updated: February 2, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Dr. Kelley Christine Sanders Ph.d., Cap NPPES

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

DR. KELLEY CHRISTINE SANDERS PH.D., CAP (NPI 1366788606) is an individual clinical provider in Jacksonville, Florida, licensed in Florida (PY8870) and active in the NPI registry since December 2012.

NPPES Registry Identity

NPI1366788606

Entity TypeIndividualFemale

Primary Taxonomy103TC0700X

Provider Legal NameDR. KELLEY CHRISTINE SANDERSCredential: PH.D., CAP

Location Address2023 TATUM AVENUE, BUILDGING H, ROOM #110AJacksonville, FL 32214

Mailing Address2023 Tatum Avenue, Buildging H, Room #110aJacksonville, FL 32214 · (904) 546-6302

Phone(904) 546-6302

Sole ProprietorNo

Enumeration DateDecember 13, 2012

Last NPPES UpdateFebruary 2, 2025

NPPES CertifiedFebruary 2, 2025

✔ NPI 1366788606 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPsychologist · ClinicalBehavioral Health & Social Service Providers

Taxonomy Code103TC0700X

License✔ Licensed in FL · PY8870

Definition

A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in breadth -- one that is broadly inclusive of severe psychopathology -- and marked by comprehensiveness and integration of knowledge and skill from a broad array of disciplines within and outside of psychology proper. The scope of clinical psychology encompasses all ages, multiple diversities and varied systems.

Also ListedPsychologist · Addiction (Substance Use Disorder)Taxonomy 103TA0400X · License CAP2880 (FL)

2023 TATUM AVENUE, Jacksonville, FL 32214

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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 Kelley Sanders's NPI number?

The NPI number for Kelley Sanders is 1366788606. It was assigned to this individual provider in the NPPES registry on December 13, 2012.

Where is Kelley Sanders located?

Kelley Sanders practices at 2023 Tatum Avenue Buildging H, Room #110a, Jacksonville, FL 32214. The listed phone number is (904) 546-6302.

What is Kelley Sanders's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Clinical, with taxonomy code 103TC0700X.

When was this NPI record last updated?

The NPPES record for Kelley Sanders was last updated on February 2, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 months 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.