Individual provider Active NPI

Elaine Ann Sandler, M.D.

  • Child & Adolescent Psychiatry Physician
  • Evergreen, CO
National Provider Identifier
1316113947
Registry record updated May 4, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Child & Adolescent Psychiatry PhysicianTaxonomy code 2084P0804X
License
38042 Issued in CO
Practice address
30772 Southview Dr Ste 150
Evergreen, CO 80439-2216
Phone
(303) 674-2865
Fax
(303) 674-9865
NPI assigned
May 4, 2008
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 4, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Child & Adolescent Psychiatry Physician 2084P0804X 38042 CO Primary

Addresses

Primary practice location

30772 Southview Dr Ste 150
Evergreen, CO 80439-2216

Mailing address

30772 Southview Dr Ste 150
Evergreen, CO 80439-2216
Phone (303) 674-2865

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20201202002006 CO Practitioner - Psychiatry 0244519940 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Psychiatry
Education
Wayne State University School of Medicine, 1996
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Eagle Valley Mental HealthGroup PAC ID 6204297450, 32 clinicians

Practice addresses (Care Compare)

429 Edwards Access Rd
Edwards, CO 81632-5559
Phone (970) 445-2489

439 Edwards Access Rd
VHBH Wiegers Mental Health Clinic
Edwards, CO 81632-5634
Phone (970) 445-2489

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
38042COMDChild & Adolescent Psychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Eagle Valley Mental Health Current Accepting new patients
Eagle Valley Mental Health CurrentSince Aug 1, 2023 Accepting new patients
Eagle Valley Mental Health CurrentSince Aug 1, 2023 Accepting new patients

Locations

181 W Meadow Dr
Vail, CO 81657
Phone (970) 476-1225

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1209859200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1209859200000",
    "number": "1316113947",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "30772 SOUTHVIEW DR STE 150",
            "city": "EVERGREEN",
            "state": "CO",
            "postal_code": "804392216",
            "telephone_number": "303-674-2865",
            "fax_number": "303-674-9865"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "30772 SOUTHVIEW DR STE 150",
            "city": "EVERGREEN",
            "state": "CO",
            "postal_code": "804392216",
            "telephone_number": "303-674-2865",
            "fax_number": "303-674-9865"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SANDLER",
        "first_name": "ELAINE",
        "middle_name": "ANN",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-05-04",
        "last_updated": "2008-05-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0804X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Child & Adolescent Psychiatry",
            "state": "CO",
            "license": "38042",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Evergreen, CO

Sources for this page

Verify at the official NPI Registry.