SHONDOLYN SANDERS PHD
NPI 1952661522
Psychologist - Clinical in Memphis, TN

Q: What is Shondolyn Sanders's NPI number?

The NPI number for Shondolyn Sanders is 1952661522. It was assigned to this individual provider in the NPPES registry on May 16, 2012.

Q: What is Shondolyn 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 Shondolyn Sanders was last updated on February 5, 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 May 16, 2012PECOS Enrolled

6401 POPLAR AVE STE 610, MEMPHIS, TN 38119(901) 227-5045 Get Directions Write a Review

NPPES record last updated: February 5, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Feb 5, 2024, Oct 6, 2020 (2 updates tracked since 2020).

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About Shondolyn Sanders Phd NPPES

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

SHONDOLYN SANDERS PHD (NPI 1952661522) is an individual clinical provider in Memphis, Tennessee, licensed in Tennessee (3727) and active in the NPI registry since May 2012. She is enrolled in Medicare PECOS and maintains a secondary practice location in Southaven.

NPPES Registry Identity

NPI1952661522

Entity TypeIndividualFemale

Primary Taxonomy103TC0700X

Provider Legal NameSHONDOLYN SANDERSCredential: PHD

Location Address6401 POPLAR AVE STE 610Memphis, TN 38119-4806

Mailing Address965 Ridge Lake BlvdMemphis, TN 38120-9401 · (901) 227-4692

Phone(901) 227-5045

Sole ProprietorNo

Enumeration DateMay 16, 2012

Last NPPES UpdateFebruary 5, 20242 updates tracked since enumeration

NPPES CertifiedFebruary 5, 2024

✔ NPI 1952661522 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 TN · 3727

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 ListedCounselorTaxonomy 101Y00000X

6401 POPLAR AVE STE 610, Memphis, TN 38119

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Secondary Practice Location 1

Location 17736 Airways BlvdSouthaven, MS 38671-5306 · Phone (662) 772-3719

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Alabama, Oscar Health Plan, Inc., Oscar Insurance Company.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)

Shondolyn Sanders Phd 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 38119 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

$160.89 typical visit price

range $52.64 – $160.89

Typical copayment $40.22 (range $13.16 – $40.22)

Most-billed visit code 99205

Established Patient

$93.60 typical visit price

range $16.72 – $131.41

Typical copayment $23.40 (range $4.18 – $32.85)

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 18

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

ANUPAMA GUPTA

Student in an Organized Health Care Education/Training Program