DR. SANFORD LLOYD PEDERSON PH.D., HSPP
NPI 1659589885
Psychologist in Greenwood, IN

Active since May 20, 2007PECOS Enrolled
494 S EMERSON AVE, SUITE C, GREENWOOD, IN 46143(317) 889-3901(317) 889-3902 Get Directions Write a Review

NPPES record last updated: August 2, 2024. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Aug 2, 2024, Jun 7, 2024, Mar 19, 2020 (3 updates tracked since 2020).

About Dr. Sanford Lloyd Pederson Ph.d., Hspp NPPES

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

DR. SANFORD LLOYD PEDERSON PH.D., HSPP (NPI 1659589885) is an individual psychologist in Greenwood, Indiana, licensed in Indiana (20041487A) and active in the NPI registry since May 2007. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1659589885
Entity TypeIndividualMale
Primary Taxonomy103T00000X
Provider Legal NameDR. SANFORD LLOYD PEDERSONCredential: PH.D., HSPP
Location Address494 S EMERSON AVE, SUITE CGreenwood, IN 46143-1912
Mailing Address570 Pine Lake DrGreenwood, IN 46143-7695
Fax(317) 889-3902
Sole ProprietorNo
Enumeration DateMay 20, 2007
Last NPPES UpdateAugust 2, 20243 updates tracked since enumeration
NPPES CertifiedAugust 2, 2024
NPI 1659589885 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 8

Primary SpecialtyPsychologistBehavioral Health & Social Service Providers
Taxonomy Code103T00000X
License Licensed in IN · 20041487A
Definition
A psychologist is an individual who is licensed to practice psychology which is defined as the observation, description, evaluation, interpretation, and modification of human behavior by the application of psychological principles, methods, and procedures, for the purpose of preventing or eliminating symptomatic, maladaptive, or undesired behavior and of enhancing interpersonal relationships, work and life adjustment, personal effectiveness, behavioral health, and mental health. The practice of psychology includes, but is not limited to, psychological testing and the evaluation or assessment of personal characteristics, such as intelligence, personality, abilities, interests, aptitudes, and neuropsychological functioning; counseling, psychoanalysis, psychotherapy, hypnosis, biofeedback, and behavior analysis and therapy; diagnosis and treatment of mental and emotional disorder or disability, alcoholism and substance abuse, disorders of habit or conduct, as well as of the psychological aspects of physical illness, accident, injury, or disability; and psycheducational evaluation, therapy, remediation, and consultation. Psychological services may be rendered to individuals, families, groups and the public.
Also ListedClinical NeuropsychologistTaxonomy 103G00000X · License 20041487A (IN)
Also ListedPsychologist · Adult Development & AgingTaxonomy 103TA0700X · License 20041487A (IN)
Also ListedPsychologist · ClinicalTaxonomy 103TC0700X · License 20041487A (IN)
Also ListedPsychologist · ForensicTaxonomy 103TF0200X · License 20041487A (IN)
Also ListedPsychologist · HealthTaxonomy 103TH0004X · License 20041487A (IN)
Also ListedPsychologist · Health ServiceTaxonomy 103TH0100X · License 20041487A (IN)
Also ListedPsychologist · RehabilitationTaxonomy 103TR0400X · License 20041487A (IN)
494 S EMERSON AVE, Greenwood, IN 46143

Other Identifiers 3

Other225420Medicate Ptan
Other225420AMedicare Legacy Id
Medicaid200227370IN

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Dr. Sanford Lloyd Pederson Ph.d., Hspp is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES 12

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

In Home Supportive Care
494 S EMERSON AVE, SUITE I-2
GREENWOOD, IN 46143
Counselor (Mental Health)
494 S EMERSON AVE, SUITE B
GREENWOOD, IN 46143
Dentist (General Practice)
494 S EMERSON AVE, SUITE K
GREENWOOD, IN 46143
Counselor (Mental Health)
494 S EMERSON AVE, SUITE B
GREENWOOD, IN 46143
Psychologist (Counseling)
494 S EMERSON AVE, SUITE B
GREENWOOD, IN 46143
Psychologist (Clinical)
494 S EMERSON AVE, SUITE D
GREENWOOD, IN 46143
In Home Supportive Care
494 S EMERSON AVE
GREENWOOD, IN 46143
Psychologist
494 S EMERSON AVE, SUITE B
GREENWOOD, IN 46143

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 Sanford Pederson's NPI number?

The NPI number for Sanford Pederson is 1659589885. It was assigned to this individual provider in the NPPES registry on May 20, 2007.

Where is Sanford Pederson located?

Sanford Pederson practices at 494 S Emerson Ave Suite C, Greenwood, IN 46143. The listed phone number is (317) 889-3901.

What is Sanford Pederson's specialty?

The primary specialty registered for this NPI is Psychologist with taxonomy code 103T00000X.

Is Sanford Pederson enrolled in Medicare?

Yes. Sanford Pederson is registered in the Medicare PECOS enrollment system.

What insurance does Sanford Pederson accept?

Health plans from CareSource and UnitedHealthcare list Sanford Pederson as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Sanford Pederson was last updated on August 2, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.