DR. SUSAN L SANDERSON (PH.D) – Clinical Psychologist, NPI 1487717963

DR. SUSAN L SANDERSON (PH.D) is a healthcare provider. based in O fallon, Missouri. specializing in Clinical Psychologist. They hold the professional credentials PH.D. They hold a License No. 2000166718 (MO). The NPI Number for DR. SUSAN L SANDERSON (PH.D) is 1487717963

Main info

Female
26 Years Of Experience
Accepts Medicare Assignment
Name
DR. SUSAN L SANDERSON (PH.D)
NPI
1487717963
Phone
(636) 561-7080
Address
7400 HIGHWAY N
Enumeration Date
18 December 2006
Last Update Date
9 July 2007

Doctor Profile

Medical School Name
OTHER
Secondary Phone
6363009333
Graduation Year
2000 (26 years ago)
PAC ID
5294629838
Group Practice PAC ID
5496649022
Professional Enrollment ID
I20120222000456
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience52
Completeness75
Years active:19State licenses:1Digital endpointsOther names

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Provider Addresses for DR. SUSAN L SANDERSON (PH.D)

  • MO N, O’Fallon, Saint Charles County, Missouri, 63368, United States

    O FALLON, MO 633687013

    Phone: (636) 561-7080

    Fax: (636) 561-0463

    Type: Location

  • 311, Nautica Lane, Breckenridge, Lake Saint Louis, Saint Charles County, Missouri, 63367, United States

    LAKE ST LOUIS, MO 633672658

    Phone: (636) 561-1788

    Fax: (636) 561-0463

    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.

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Medicare Enrollment & Revalidation

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

No Medicare enrollment or revalidation data available for this provider in our database.

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Medicare Utilization (FFS)

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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 63368)

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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: 5496649022View full group profile
NameSpecialtyState
Clinical PsychologistMO
Clinical PsychologistMO
Clinical Social WorkerMO
Clinical Social WorkerMO
Clinical Social WorkerIA

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Frequently asked questions

Is DR. SUSAN L SANDERSON (PH.D) listed with a National Provider Identifier?
Yes — DR. SUSAN L SANDERSON (PH.D) has NPI 1487717963 on file in the registry.
Active or inactive — what applies to DR. SUSAN L SANDERSON (PH.D)?
You should see DR. SUSAN L SANDERSON (PH.D) as active in CMS-hosted NPPES data.
What area of care is associated with DR. SUSAN L SANDERSON (PH.D)?
DR. SUSAN L SANDERSON (PH.D)'s record emphasizes Clinical Psychologist. Clinical services aligned with this taxonomy classification.
What locale is associated with DR. SUSAN L SANDERSON (PH.D)?
Directory geography for DR. SUSAN L SANDERSON (PH.D) centers on O Fallon, Missouri.
Does inactive status remove historical data?
Historical rows can remain visible after status changes — read the dates carefully.

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