Sandra Lare, D.O.

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

License

2005-01564 Issued in NC

Practice address

2609 S 10TH Ave Ste 102
Caldwell, ID 83605-6885

Phone

(208) 454-2766

NPI assigned

Oct 27, 2006

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Enrolled in OR, ID, GA, OH4 enrollments

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 4

Specialty

General PracticeAlso: Psychiatry

Education

Other, 1996

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Community Counseling SolutionsGroup PAC ID 0446484885, 31 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Community Counseling Solutions

  • Rural Health Clinic/Center
  • John Day, OR
  • NPI 1487992665
  Medicare reassignment Care Compare group NPD
• Anytime First Call NP LLC

  • Psychiatric/Mental Health Nurse Practitioner
  • Morrow, GA
  • NPI 1447876719
  Medicare reassignment NPD
• HWS Best Health LLC

  • Community/Behavioral Health Agency
  • Canton, OH
  • NPI 1891393328
  Medicare reassignment NPD
• Lifeways, Inc

  • Community/Behavioral Health Agency
  • Ontario, OR
  • NPI 1568558955

  ID

  Medicare reassignment
• Community Counseling Solutions

  • Addiction (Substance Use Disorder) Counselor
  • Heppner, OR
  • NPI 1578501771
  NPD
• Grant County

  • Family Nurse Practitioner
  • John Day, OR
  • NPI 1629009022
  NPD
• HWS Best Health LLC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • North Canton, OH
  • NPI 1750017893
  NPD
• Wilmington Wellness Group, PA

  • Psychiatry Physician
  • Wilmington, NC
  • NPI 1235218546
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1161907200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1614038400000",
    "number": "1073699559",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "702 SUNSET DR",
            "city": "ONTARIO",
            "state": "OR",
            "postal_code": "979143121",
            "telephone_number": "541-889-9167"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2609 S 10TH AVE STE 102",
            "city": "CALDWELL",
            "state": "ID",
            "postal_code": "836056885",
            "telephone_number": "208-454-2766"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1213 Culbreth Dr",
            "address_purpose": "LOCATION",
            "city": "Wilmington",
            "state": "NC",
            "postal_code": "284053684",
            "country_code": "US",
            "telephone_number": "910-471-4773",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "331 SE 2nd St",
            "address_purpose": "LOCATION",
            "city": "Pendleton",
            "state": "OR",
            "postal_code": "978012224",
            "country_code": "US",
            "telephone_number": "541-276-6207",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LARE",
        "first_name": "SANDRA",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-10-27",
        "last_updated": "2021-02-23",
        "certification_date": "2021-02-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "CA",
            "license": "20A7836",
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "SC",
            "license": "0479",
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "NC",
            "license": "2005-01564",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Gloria Marie Lamb-Condosta, PHARMD
• Stacy Jane Lamers, DO
• Bailey Rheann Landon
• Brandon Lane, PA
• Michelle Lanigan
• Craig M Larsen, CPRC, CPRC-S
• Rebecca Larsen
• Jeffrey D Larson, D.M.D., P.C.
• Michelle Anne Laufenburger, MS, OTR/L
• McKaela Laverty

• Psychiatry Physician in Caldwell, ID
• Providers in Caldwell, ID by specialty
• Psychiatry Physician in Idaho

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 23, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.