DR. TIFFANY DEVICA SANDERS (PH.D.) – Clinical Psychologist, NPI 1174776447

DR. TIFFANY DEVICA SANDERS (PH.D.) is a healthcare provider. based in Westchester, Illinois. specializing in CLINICAL PSYCHOLOGIST. They hold the professional credentials PH.D.. They hold a License No. 235591 (IL). The NPI Number for DR. TIFFANY DEVICA SANDERS (PH.D.) is 1174776447

Main info

Female
18 Years Of Experience
Accepts Medicare Assignment
Name
DR. TIFFANY DEVICA SANDERS (PH.D.)
NPI
1174776447
Phone
(708) 223-8405
Address
2225 ENTERPRISE DR
Enumeration Date
29 October 2008
Last Update Date
3 June 2016

Doctor Profile

Medical School Name
OTHER
Secondary Phone
7082238405
Graduation Year
2008 (18 years ago)
PAC ID
8022142637
Professional Enrollment ID
I20100818000859
Address ID
IL605231394OA2021XRDXX301
Telehealth
Yes
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience62
Completeness75
Years active:17State licenses:2Digital endpointsOther names

1,600 CLINICAL PSYCHOLOGIST in IL

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Provider Addresses for DR. TIFFANY DEVICA SANDERS (PH.D.)

  • 2225, Enterprise Drive, Westchester, Proviso Township, Cook County, Illinois, 60154, United States

    2515

    WESTCHESTER, IL 601545814

    Phone: (708) 223-8405

    Type: Location

  • 1405, Harlem Avenue, Harlem Park, Baltimore, Maryland, 21217, United States

    B

    OAK PARK, IL 603021257

    Phone: (708) 223-8405

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2010-08-18

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20100818000859IClinical PsychologistILTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 60154)

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Reviews

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Frequently asked questions

Does DR. TIFFANY DEVICA SANDERS (PH.D.) have a public NPI I can cite?
Public records show DR. TIFFANY DEVICA SANDERS (PH.D.) under NPI 1174776447.
Is DR. TIFFANY DEVICA SANDERS (PH.D.)'s NPI status active today?
Active status means DR. TIFFANY DEVICA SANDERS (PH.D.)'s NPI record is not deactivated in the public file.
Which specialty label fits DR. TIFFANY DEVICA SANDERS (PH.D.)?
NPPES ties DR. TIFFANY DEVICA SANDERS (PH.D.) to Clinical Psychologist in the taxonomy section. Clinical services aligned with this taxonomy classification.
Is DR. TIFFANY DEVICA SANDERS (PH.D.) tied to Westchester, Illinois?
If you are local to Westchester, Illinois, DR. TIFFANY DEVICA SANDERS (PH.D.) may be relevant to your search.
Why is information missing for DR. TIFFANY DEVICA SANDERS (PH.D.)?
Providers choose how much contact data to publish. Missing fields do not mean the profile is fake.

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