Organization Active NPI

The Sandbox LLC

  • Adolescent and Children Mental Health Clinic/Center
  • South Charleston, WV
National Provider Identifier
1154278083
Registry record updated Mar 11, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adolescent and Children Mental Health Clinic/CenterTaxonomy code 261QM0855X
Legal business name
THE SANDBOX LLC
Practice address
203 D St
South Charleston, WV 25303-3103
Phone
(304) 887-2994
NPI assigned
Mar 11, 2026
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 11, 2026

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

Authorized official

Name
Carly Dadisman, LICSW
Title
Owner
Phone
(304) 887-3540

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adolescent and Children Mental Health Clinic/Center 261QM0855X Primary

Addresses

Primary practice location

203 D St
South Charleston, WV 25303-3103

Mailing address

207 D St
South Charleston, WV 25303-3103
Phone (304) 887-3540

National Provider Directory

National Provider Directory

Locations

203 D St
South Charleston, WV 25303
Phone (304) 887-2994

207 D St
South Charleston, WV 25303
Phone (304) 207-0406

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1773187200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1773187200000",
    "number": "1154278083",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "207 D ST",
            "city": "SOUTH CHARLESTON",
            "state": "WV",
            "postal_code": "253033103",
            "telephone_number": "304-887-3540"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "203 D ST",
            "city": "SOUTH CHARLESTON",
            "state": "WV",
            "postal_code": "253033103",
            "telephone_number": "304-887-2994"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE SANDBOX LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-03-11",
        "last_updated": "2026-03-11",
        "certification_date": "2026-03-11",
        "status": "A",
        "authorized_official_last_name": "DADISMAN",
        "authorized_official_first_name": "CARLY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "304-887-3540",
        "authorized_official_credential": "LICSW"
    },
    "taxonomies": [
        {
            "code": "261QM0855X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adolescent and Children Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in South Charleston, WV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 11, 2026; 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.