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SANDERSON PSYCHOLOGICAL, LLC
NPI 1699212431
Community/Behavioral Health in Elizabeth, PA

Active since January 31, 2017
95 ENTERPRISE ST, SUITE 104, ELIZABETH, PA 15037(412) 370-4848(412) 754-2006 Get Directions Write a Review

NPPES record last updated: May 11, 2017. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: May 11, 2017, Jan 31, 2017 (2 updates tracked since 2017).

About Sanderson Psychological, Llc NPPES

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

SANDERSON PSYCHOLOGICAL, LLC (NPI 1699212431) is a healthcare organization registered as a community/behavioral health in Elizabeth, Pennsylvania and active in the NPI registry since January 2017. The organization lists Brooke Nicole Sanderson, President, as its authorized official.

NPPES Registry Identity

NPI1699212431
Entity TypeOrganization
Primary Taxonomy251S00000X
Legal Business NameSANDERSON PSYCHOLOGICAL, LLC
Location Address95 ENTERPRISE ST, SUITE 104Elizabeth, PA 15037-2070
Mailing Address95 Enterprise St, Suite 104Elizabeth, PA 15037-2070 · (412) 370-4848 · Fax (412) 754-2006
Phone(412) 370-4848
Fax(412) 754-2006
Organization SubpartNo
Authorized OfficialBrooke Nicole SandersonPresident · (412) 370-4848
Enumeration DateJanuary 31, 2017
Last NPPES UpdateMay 11, 20172 updates tracked since enumeration
✔ NPI 1699212431 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCommunity/Behavioral HealthAgencies
Taxonomy Code251S00000X
Licenses✔ Licensed in PA · PS018190✔ Licensed in PA · PC006524
Definition
A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, intellectual disabilities, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment.
95 ENTERPRISE ST, Elizabeth, PA 15037
Open in Google Maps ↗

Other Identifiers 1

Other1871842591PA · Npi Individual

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Sanderson Psychological, Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

20

Medicare enrollment records show 20 clinicians reassign Medicare billing to Sanderson Psychological, LLC, which bills Medicare for the services they deliver. Of these, 8 practice at this address and 11 within 10 miles. They are listed nearest first.

Clinicians by Medicare Specialty 5

Mental Health Counselor12
Nurse Practitioner4
Clinical Psychologist2
Clinical Social Worker1
Psychiatry1

Clinicians, nearest first (20)

Abigail Audenried, LPC
Mental Health Counselor
NPI 1710599147
95 ENTERPRISE ST STE 104
Elizabeth, PA 15037
(412) 754-1100
✔ PECOS✔ Accepts MedicareSame address
Michelle Dvorchak, LPC
Mental Health Counselor
NPI 1972220135
95 ENTERPRISE ST STE 104
Elizabeth, PA 15037
(724) 984-1557
✔ PECOS✔ Accepts MedicareSame address
Trissa Gustovich, CRNP
Nurse Practitioner
NPI 1336893650
95 ENTERPRISE ST STE 104
Elizabeth, PA 15037
(412) 754-1100
✔ PECOS✔ Accepts MedicareSame address
Miranda Makkar, LCSW
Mental Health Counselor
NPI 1588402739
95 ENTERPRISE ST STE 104
Elizabeth, PA 15037
(412) 754-1100
✔ PECOS✔ Accepts MedicareSame address
Noel Maurizi, PSYD.
Clinical Psychologist
NPI 1811733215
95 ENTERPRISE ST STE 104
Elizabeth, PA 15037
(412) 754-1100
✔ PECOS✔ Accepts MedicareSame address
Connor Paoletti, MS, NCC, LPC
Mental Health Counselor
NPI 1497598197
95 ENTERPRISE ST STE 104
Elizabeth, PA 15037
(412) 754-1100
✔ PECOSSame address
Elizabeth Polovina
Mental Health Counselor
NPI 1427813450
95 ENTERPRISE ST STE 104
Elizabeth, PA 15037
(412) 754-1100
✔ PECOS✔ Accepts MedicareSame address
Brooke Sanderson, PSYD
Clinical Psychologist
NPI 1871842591
95 ENTERPRISE ST STE 104
Elizabeth, PA 15037
(412) 370-4848
✔ PECOSSame address
Mandi Caldwell
Nurse Practitioner
NPI 1679344154
526 OBERDICK DRIVE
Mckeesport, PA 15135
(412) 760-3610
✔ PECOS✔ Accepts Medicare2.6 mi
Christine Kalinik, LCSW
Clinical Social Worker
NPI 1679979462
125 NORTH SECOND STREET
West Newton, PA 15089
(724) 963-4921
✔ PECOS6.1 mi
Nicole Tachoir, LPC
Mental Health Counselor
NPI 1871280263
810 CLAIRTON BLVD STE 500600
Pittsburgh, PA 15236
(412) 650-1100
✔ PECOS6.4 mi
Andrea Smith, MS
Mental Health Counselor
NPI 1457078818
339 OLD HAYMAKER RD STE 208
Monroeville, PA 15146
(412) 824-4005
✔ PECOS12 mi
Megan Koplove
Nurse Practitioner
NPI 1821466137
330 S 9TH ST
Pittsburgh, PA 15203
(412) 478-4546
✔ PECOS✔ Accepts Medicare13 mi
Jessica Baumann, DNP, PMHNP-BC
Nurse Practitioner
NPI 1780275701
4100 ALLEQUIPPA ST
Pittsburgh, PA 15240
(412) 360-6000
✔ PECOS✔ Accepts Medicare13 mi
Stephanie Briskin, MS LPC
Mental Health Counselor
NPI 1851635544
129 SIMPSON RD SUITE 109-B
Brownsville, PA 15417
(724) 785-9444
✔ PECOS✔ Accepts Medicare20 mi
Ravindra Mehta, M.D.
Psychiatry
NPI 1063599835
129 SIMPSON RD SUITE 109
Brownsville, PA 15417
(724) 785-9444
✔ PECOS✔ Accepts Medicare20 mi
Bobbi Jo Witham, MA, NCC, LPC, BC-TMH
Mental Health Counselor
NPI 1619165347
50 BERRY RD
Washington, PA 15301
(724) 705-9535
✔ PECOS✔ Accepts Medicare22 mi
Lesa Parker, MS, LPC
Mental Health Counselor
NPI 1568681674
10475 PERRY HWY TOWN CENTRE, SUITE 300
Wexford, PA 15090
(724) 759-7500
✔ PECOS✔ Accepts Medicare25 mi
Torre Horne
Mental Health Counselor
NPI 1285293514
100 NEW SALEM RD STE 116
Uniontown, PA 15401
(724) 437-0729
✔ PECOS✔ Accepts Medicare26 mi
Marissa Wright, M.S.
Mental Health Counselor
NPI 1043813512
630 CHERRY TREE LN
Uniontown, PA 15401
(724) 439-0308
✔ PECOS✔ Accepts Medicare27 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 Sanderson Psychological, LLC's NPI number?

The NPI number for Sanderson Psychological, LLC is 1699212431. It was assigned to this organization in the NPPES registry on January 31, 2017.

Where is Sanderson Psychological, LLC located?

Sanderson Psychological, LLC is located at 95 Enterprise St Suite 104, Elizabeth, PA 15037. The listed phone number is (412) 370-4848.

What is Sanderson Psychological, LLC's specialty?

The primary specialty registered for this NPI is Community/Behavioral Health with taxonomy code 251S00000X.

Is Sanderson Psychological, LLC enrolled in Medicare?

Yes. Sanderson Psychological, LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Sanderson Psychological, LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 20 clinicians in 5 Medicare specialties reassign their Medicare billing to Sanderson Psychological, LLC. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. The largest specialties are Mental Health Counselor (12), Nurse Practitioner (4) and Clinical Psychologist (2). Of these, 8 practice at this address and 11 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Sanderson Psychological, LLC was last updated on May 11, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.