VICTORIA SANBORN (PHD) – Counselor, NPI 1477179505
Counselor
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
251 CLINICAL PSYCHOLOGIST in RI
Provider Addresses for VICTORIA SANBORN (PHD)
67 S MAIN ST
NORTH BROOKFIELD, MA 015351436
Phone: (508) 344-3215
Type: Mailing
1 HOPPIN ST
PROVIDENCE, RI 029034141
Phone: (508) 344-3215
Type: Location
5982 RHODES RD
KENT, OH 442408100
Phone: (330) 673-1437
Fax: (330) 678-3677
Type: Mailing
3922 LOVERS LN
RAVENNA, OH 442664200
Phone: (800) 673-1347
Type: Location
593 Eddy Street APC 7
Providence, RI 02903
Phone: (401) 444-6788
Type: Location
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: 2024-07-22
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20240722000979 | I | Clinical Psychologist | RI | TBD |
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.
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 01535)
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Group practice members
- 1
- 2
- 3
- 4
- 5
| Name | Specialty | State |
|---|---|---|
| A N E S T H E S I O L O G Y | RI | |
| E N D O C R I N O L O G Y | RI | |
| - | RI | |
| Pain Management | RI | |
| Hematology/Oncology, Internal Medicine | RI | |
| Gastroenterology, Pediatric Medicine | RI | |
| N E U R O L O G Y | RI | |
| Internal Medicine | RI | |
| - | RI | |
| N E U R O L O G Y | RI |
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