Yamel Sandoval Quijano

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

License

201751 Issued in TX

Practice address

805 W 10TH St Ste 201
Austin, TX 78701-2012

Phone

(512) 730-1788

Fax

(512) 730-1788

NPI assigned

Sep 24, 2014

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Opted out of Medicare

Yes, effective Mar 20, 2024 through Mar 20, 2028

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• SQ Therapy PLLC

  • Marriage & Family Therapist
  • Austin, TX
  • NPI 1851863690
  NPD Authorized official

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

{
    "created_epoch": "1411516800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1709164800000",
    "number": "1194127860",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "805 W 10TH ST STE 201",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787012012",
            "telephone_number": "512-730-1788",
            "fax_number": "512-730-1788"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "805 W 10TH ST STE 201",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787012012",
            "telephone_number": "512-730-1788",
            "fax_number": "512-730-1788"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SANDOVAL QUIJANO",
        "first_name": "YAMEL",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-09-24",
        "last_updated": "2024-02-29",
        "certification_date": "2024-02-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "TX",
            "license": "201751",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Manmit Sandhu, DMD
• Robin Lea Sandifer, R.PH.
• Sandip Savaliya MD PA
• Krystine Sandlin, M.D.
• Hannah Marie Sandmann, OTR
• Rosalia Sandoval-Alvarado, BA. SLP-ASSISTANT
• Laura L Sandoval-Sweeney, LCSW
• Amber Sandoval, RD
• Faith Sandoval, DC
• Gena'Ve Amara Sandoval

• Marriage & Family Therapist in Austin, TX
• Providers in Austin, TX by specialty
• Marriage & Family Therapist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 29, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.