Sandbulte LLC

Primary specialty

PsychologistTaxonomy code 103T00000X

Legal business name

SANDBULTE LLC

Practice address

1601 E. 69TH STR
Suite 101
Sioux Falls, SD 57108

Phone

(605) 906-3329

Fax

(877) 814-0028

NPI assigned

Jul 17, 2023

Last updated

Jul 17, 2023By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Shelley Lynn Sandbulte, EDDNPI 1871587253

Title

Licensed Psychologist/Owner

Phone

(605) 906-3329

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in SD

Enrollment records 1

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Shelley Lynn Sandbulte, EDD

  • Psychologist
  • Sioux Falls, SD
  • NPI 1871587253
  Medicare reassignment NPD Authorized official
• Mary J Eggleston, MS ED

  • Addiction (Substance Use Disorder) Counselor
  • Sioux Falls, SD
  • NPI 1437142288
  NPD

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

{
    "created_epoch": "1689552000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1689552000000",
    "number": "1184303208",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1601 E 69TH STR.",
            "address_2": "SUITE 101",
            "city": "SIOUX FALLS",
            "state": "SD",
            "postal_code": "571088322",
            "telephone_number": "605-906-3329",
            "fax_number": "877-814-0028"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1601 E. 69TH STR",
            "address_2": "SUITE 101",
            "city": "SIOUX FALLS",
            "state": "SD",
            "postal_code": "57108",
            "telephone_number": "605-906-3329",
            "fax_number": "877-814-0028"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SANDBULTE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-07-17",
        "last_updated": "2023-07-17",
        "certification_date": "2023-07-15",
        "status": "A",
        "authorized_official_last_name": "SANDBULTE",
        "authorized_official_first_name": "SHELLEY",
        "authorized_official_middle_name": "LYNN",
        "authorized_official_title_or_position": "LICENSED PSYCHOLOGIST/OWNER",
        "authorized_official_telephone_number": "605-906-3329",
        "authorized_official_credential": "EDD"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Catherine Jolene Sanchez, MS, RD, LN
• Jorge D Sanchez, MD
• Sanctuary, LLC
• Kendra Sandal
• Sandbulte Inc
• Baylee Sandbulte
• Shelley Lynn Sandbulte, EDD
• Breanne Maray Sande Russell, PHD
• Davida Nicole Sheree Sande Russell, LGSW,CSW
• Ashley Renee Sandeen, D.O.

• Psychologist in Sioux Falls, SD
• Providers in Sioux Falls, SD by specialty
• Psychologist in South Dakota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 17, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.