Jennifer Kay Sand, PH.D.

Primary specialty

Counseling PsychologistTaxonomy code 103TC1900X

License

PSY 23135 Issued in CA

Practice address

2700 Westown Pkwy Ste 425
West Des Moines, IA 50266-1434

Phone

(515) 528-2532

Fax

(515) 528-2532

NPI assigned

Apr 20, 2010

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Dr. Jennifer Sand Canales Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Opted out of Medicare

Yes, effective Feb 10, 2024 through Feb 10, 2028

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Philosophy

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.

• Dr Jen Sand, LLC

  • Counseling Psychologist
  • Des Moines, IA
  • NPI 1104782382
  NPD Authorized official

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

{
    "created_epoch": "1271721600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1614297600000",
    "number": "1235456971",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2700 WESTOWN PKWY STE 425",
            "city": "WEST DES MOINES",
            "state": "IA",
            "postal_code": "502661434",
            "telephone_number": "515-528-2532",
            "fax_number": "515-528-2532"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2700 WESTOWN PKWY STE 425",
            "city": "WEST DES MOINES",
            "state": "IA",
            "postal_code": "502661434",
            "telephone_number": "515-528-2532",
            "fax_number": "515-528-2532"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "601 University Ave",
            "address_2": "Suite 225",
            "address_purpose": "LOCATION",
            "city": "Sacramento",
            "state": "CA",
            "postal_code": "958256775",
            "country_code": "US",
            "telephone_number": "916-920-5276 x27",
            "fax_number": "916-920-5221",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SAND",
        "first_name": "JENNIFER",
        "middle_name": "KAY",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-04-20",
        "last_updated": "2021-02-26",
        "certification_date": "2021-02-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC1900X",
            "taxonomy_group": "",
            "desc": "Psychologist, Counseling",
            "state": "CA",
            "license": "PSY 23135",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JENNIFER",
            "last_name": "CANALES",
            "middle_name": "SAND",
            "prefix": "DR.",
            "credential": "PH.D.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• David D Saggau, MD
• Stephanie Sam, DO
• Diego Armando Samaniego
• Samara Home Health Care and Interpretation Services LLC
• Kaung Myat San
• Shannon Lynne Sandahl, LISW
• Catherine J Sandberg, DO
• Jason Sanders
• Gretchen Larson Sandfort, MPT
• Sarah C Koenen Lisw LLC

• Counseling Psychologist in West Des Moines, IA
• Providers in West Des Moines, IA by specialty
• Counseling Psychologist in Iowa

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 26, 2021; 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.