Colin Sauder, PhD
Psychologist in Watertown, MA. Individual provider (NPI-1).
NPI number1104466846
StatusActive
Last updated in NPPESJan 10, 2020
Details
- NPI
- 1104466846
- Entity type
- Individual (NPI-1)
- Name
- Colin Sauder
- Credential
- PhD
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Jan 10, 2020
- Certification date
- Jan 10, 2020
- Last updated
- Jan 10, 2020
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 103T00000X | Psychologist | 11184 | MA | Yes |
Practice location
521 Mount Auburn St Ste 209Watertown, MA 02472-4153
Phone 617-744-8542
Mailing address
521 Mount Auburn St Ste 209Watertown, MA 02472-4153
Phone 617-744-8542
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This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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