Individual provider Active NPI

Sandra Ball Bandettini, MS, MFT

  • Mental Health Counselor
  • Laguna Hills, CA
National Provider Identifier
1124463245
Registry record updated Dec 27, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
38003 Issued in CA
Practice address
23276 S Pointe Dr
Suite 108
Laguna Hills, CA 92653-1432
Phone
(949) 705-7938
NPI assigned
May 2, 2013
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 27, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 38003 CA Primary

Addresses

Primary practice location

23276 S Pointe Dr
Suite 108
Laguna Hills, CA 92653-1432

Mailing address

PO Box 2751
Mission Viejo, CA 92690-0751
Phone (949) 705-7938

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Master of Science

NPI Registry JSON

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

{
    "created_epoch": "1367452800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1388102400000",
    "number": "1124463245",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2751",
            "city": "MISSION VIEJO",
            "state": "CA",
            "postal_code": "926900751",
            "telephone_number": "949-705-7938"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "23276 S POINTE DR",
            "address_2": "SUITE 108",
            "city": "LAGUNA HILLS",
            "state": "CA",
            "postal_code": "926531432",
            "telephone_number": "949-705-7938"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BANDETTINI",
        "first_name": "SANDRA",
        "middle_name": "BALL",
        "name_prefix": "Mrs.",
        "credential": "MS, MFT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-05-02",
        "last_updated": "2013-12-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "CA",
            "license": "38003",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Laguna Hills, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 27, 2013; 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.