EZEKIEL N SANDERS PSYD
NPI 1831433812
Psychologist - Clinical in Prineville, OR

Q: What is Ezekiel Sanders's NPI number?

The NPI number for Ezekiel Sanders is 1831433812. It was assigned to this individual provider in the NPPES registry on November 15, 2012.

Q: What is Ezekiel 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 Ezekiel Sanders was last updated on February 8, 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.

Active since November 15, 2012PECOS Enrolled

384 SE COMBS FLAT RD STE 1200, PRINEVILLE, OR 97754(541) 447-6263(541) 447-8724 Get Directions Write a Review

NPPES record last updated: February 8, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Feb 8, 2024, Jul 17, 2023, Apr 8, 2021 and 2 more (5 updates tracked since 2019).

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About Ezekiel N Sanders Psyd NPPES

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

EZEKIEL N SANDERS PSYD (NPI 1831433812) is an individual clinical provider in Prineville, Oregon, licensed in Oregon (3132) and active in the NPI registry since November 2012. He is enrolled in Medicare PECOS and maintains a secondary practice location in Bend.

NPPES Registry Identity

NPI1831433812

Entity TypeIndividualMale

Primary Taxonomy103TC0700X

Provider Legal NameEZEKIEL N SANDERSCredential: PSYD

Location Address384 SE COMBS FLAT RD STE 1200Prineville, OR 97754-2562

Mailing Address384 Se Combs Flat RdPrineville, OR 97754-2562 · (541) 447-6263

Phone(541) 447-6263

Fax(541) 447-8724

Sole ProprietorNo

Enumeration DateNovember 15, 2012

Last NPPES UpdateFebruary 8, 20245 updates tracked since enumeration

NPPES CertifiedFebruary 8, 2024

✔ NPI 1831433812 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 OR · 3132

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 ListedCounselor · Mental HealthTaxonomy 101YM0800X

384 SE COMBS FLAT RD STE 1200, Prineville, OR 97754

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Secondary Practice Location 1

Location 11230 NE 3rd St # A160-EBend, OR 97701-4367 · Phone (541) 203-2407

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include BridgeSpan Health Company, Moda Health Plan, Inc., PacificSource Health Plans and more.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)

Ezekiel N Sanders Psyd 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 97754 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$166.64 typical visit price

range $54.96 – $166.64

Typical copayment $41.66 (range $13.74 – $41.66)

Most-billed visit code 99205

Established Patient

$97.16 typical visit price

range $17.68 – $136.19

Typical copayment $24.29 (range $4.42 – $34.04)

Most-billed visit code 99214

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 16

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

GINA PEACH FNP

Nurse Practitioner (Family)