National Provider Identifier Database

KELLEY C SANDERS, PH.D., CAP – NPI #1366788606
Clinical

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.


Contact Information

KELLEY C SANDERS, PH.D., CAP
2023 TATUM AVENUE
BUILDGING H, ROOM #110A
JACKSONVILLE, FL32214
Phone: 904-546-6302
Fax:
Website:
Specialty Taxonomy Code
* Clinical 103TC0700X
Addiction (Substance Use Disorder) 103TA0400X

* Indicates primary specialty

NPI Profile & details for KELLEY C SANDERS

NPI Number 1366788606
Credentials PH.D., CAP
Entity Individual
Enumeration date 12/13/2012
Last updated 02/02/2025 - More than a year ago
Sole proprietor1 No
Identifiers
  • FL License #: CAP2880
  • FL License #: PY8870
Hospital affiliation n/a

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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