Charles Jeffrey Sandoz, PH.D.

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

9693 Issued in FL

Practice address

530 US Highway 41 Byp S
Suite 4a
Venice, FL 34285-4750

Phone

(941) 244-9510

Fax

(941) 244-9511

NPI assigned

Dec 6, 2008

Last updated

Jul 20, 2009By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Philosophy

State licenses

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

{
    "created_epoch": "1228521600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1248048000000",
    "number": "1073758926",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21007 BACHMANN BLVD",
            "city": "PORT CHARLOTTE",
            "state": "FL",
            "postal_code": "339543061",
            "telephone_number": "941-244-9510",
            "fax_number": "941-244-9511"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "530 US HIGHWAY 41 BYP S",
            "address_2": "SUITE 4A",
            "city": "VENICE",
            "state": "FL",
            "postal_code": "342854750",
            "telephone_number": "941-244-9510",
            "fax_number": "941-244-9511"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SANDOZ",
        "first_name": "CHARLES",
        "middle_name": "JEFFREY",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-12-06",
        "last_updated": "2009-07-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "FL",
            "license": "4614",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "FL",
            "license": "9693",
            "primary": true
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "LA",
            "license": "1946",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAP",
            "identifier": "4614",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Neetha G Sallapudi, MD
• Nitin Sallapudi, DDS
• Brenda J Sanchez, APRN
• Caridad Sun Sanchez, M.D.
• Eduardo H Sanchez, M.D.
• Sandra Johnson-Hill (Women's Wellness Massage Therapy)
• Denise L Sanfilippo, LCSW
• Lynn Sanford, LPTA
• Allan Manuel Santos, BS PHARMACY
• Sandra Sarakinis

• Mental Health Counselor in Venice, FL
• Providers in Venice, FL by specialty
• Mental Health Counselor in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 20, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.