Sandy Sandoval, CPSW

Primary specialty

Peer SpecialistTaxonomy code 175T00000X

License

1635 Issued in NM

Practice address

12 Unser Blvd SE Ste C
Rio Rancho, NM 87124-6300

Phone

(505) 636-6100

Fax

(505) 501-8646

NPI assigned

May 21, 2024

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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.

• Pinwheel Healing Center, LLC

  • Community/Behavioral Health Agency
  • Rio Rancho, NM
  • NPI 1154786275
  NPD

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

{
    "created_epoch": "1716249600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1716249600000",
    "number": "1093554925",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12 UNSER BLVD SE STE C",
            "city": "RIO RANCHO",
            "state": "NM",
            "postal_code": "871246300",
            "telephone_number": "505-636-6100"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12 UNSER BLVD SE STE C",
            "city": "RIO RANCHO",
            "state": "NM",
            "postal_code": "871246300",
            "telephone_number": "505-636-6100",
            "fax_number": "505-501-8646"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SANDOVAL",
        "first_name": "SANDY",
        "credential": "CPSW",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2024-05-21",
        "last_updated": "2024-05-21",
        "certification_date": "2024-05-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": "NM",
            "license": "00000",
            "primary": false
        },
        {
            "code": "175T00000X",
            "taxonomy_group": "",
            "desc": "Peer Specialist",
            "state": "NM",
            "license": "1635",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Elizabeth Sandoval
• Erica Adelle Sandoval
• Kathryn Sandoval
• Maria Catarina Sandoval, LISW,LCSW
• Mercedes Sandoval, LMSW
• Vanesa P Sandoval, LMT
• Layla Sanford
• Santa Fe Pain & Spine Specialists PC
• Victoria Santangelo
• Ellen Annette Santistevan-Salazar, LMT

• Peer Specialist in Rio Rancho, NM
• Providers in Rio Rancho, NM by specialty
• Peer Specialist in New Mexico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 21, 2024; 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.