VICTORIA SANBORN (PHD) – Counselor, NPI 1477179505

VICTORIA SANBORN (PHD) is a healthcare provider. based in North brookfield, Massachusetts. specializing in CLINICAL PSYCHOLOGIST. They hold the professional credentials PHD. They hold a License No. PS02254 (RI). The NPI Number for VICTORIA SANBORN (PHD) is 1477179505

Main info

Female
4 Years Of Experience
Accepts Medicare Assignment
Name
VICTORIA SANBORN (PHD)
NPI
1477179505
Phone
(508) 344-3215
Address
67 S MAIN ST
Enumeration Date
24 June 2020
Last Update Date
18 July 2024

Doctor Profile

Medical School Name
OTHER
Secondary Phone
4014443777
Graduation Year
2022 (4 years ago)
PAC ID
7618413170
Group Practice PAC ID
8921900044
Professional Enrollment ID
I20240722000979
Address ID
RI029034923PR593XXSTXX300
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience39
Completeness75
Years active:5State licenses:1Digital endpointsOther names

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

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

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20240722000979IClinical PsychologistRITBD

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 01535)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 8921900044View full group profile
NameSpecialtyState
A N E S T H E S I O L O G YRI
E N D O C R I N O L O G YRI
-RI
Pain ManagementRI
Hematology/Oncology, Internal MedicineRI
Gastroenterology, Pediatric MedicineRI
N E U R O L O G YRI
Internal MedicineRI
-RI
N E U R O L O G YRI

Reviews

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Frequently asked questions

What is the standard ID for VICTORIA SANBORN (PHD) in the U.S.?
In the U.S., VICTORIA SANBORN (PHD) is identified by NPI 1477179505.
Is VICTORIA SANBORN (PHD)'s NPI status active today?
Active status means VICTORIA SANBORN (PHD)'s NPI record is not deactivated in the public file.
What does the directory say VICTORIA SANBORN (PHD) does?
Insurance directories may phrase it differently, but here VICTORIA SANBORN (PHD) maps to Counselor. Clinical services aligned with this taxonomy classification.
Is VICTORIA SANBORN (PHD) tied to North Brookfield, Massachusetts?
If you are local to North Brookfield, Massachusetts, VICTORIA SANBORN (PHD) may be relevant to your search.
Can I export VICTORIA SANBORN (PHD)'s record?
You can download the official NPPES record; we summarize key fields for readability.

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