Individual provider Active NPI

Sandy Chand Sahadeo, APRN-PMHNP

  • Psychiatric/Mental Health Nurse Practitioner
  • Mangonia Park, FL
National Provider Identifier
1336840198
Registry record updated Apr 21, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
11025306 Issued in FL
Practice address
1115 45TH St Ste 1
Mangonia Park, FL 33407-2378
Phone
(561) 215-8445
NPI assigned
Mar 16, 2023
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 21, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 11025306 FL Primary

Addresses

Primary practice location

1115 45TH St Ste 1
Mangonia Park, FL 33407-2378

Mailing address

14891 67TH TRL N
Palm Beach Gardens, FL 33418-1961
Phone (561) 215-8445

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240326000484 FL Practitioner - Nurse Practitioner 1052758174 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
New Horizons of the Treasure Coast IncGroup PAC ID 1153313218, 20 clinicians
Grow Healthcare Group PAGroup PAC ID 3476961368, 1,045 clinicians

Practice addresses (Care Compare)

4500 W Midway Rd
Fort Pierce, FL 34981-4823
Phone (561) 468-5600

66 E Flagler St
Miami, FL 33130-1807
Phone (786) 244-7711

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
11025306FLMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Psychiatry Wellness LLC Psychiatric/Mental Health CurrentSince Jul 15, 2024 Accepting new patients
New Horizons of the Treasure Coast Inc CurrentSince Mar 18, 2024 Accepting new patients
Grow Healthcare Group PA Psychiatric/Mental Health CurrentSince Sep 6, 2024 Accepting new patients

Locations

4500 W Midway Rd
Fort Pierce, FL 34981
Phone (561) 468-5600

1115 45th St
Mangonia Park, FL 33407
Phone (561) 215-8445

1115 45th St
Ste 1
Mangonia Park, FL 33407
Phone (561) 215-8445

66 W Flagler St
Ste 900
Miami, FL 33130
Phone (786) 244-7711

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": "1678924800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1745193600000",
    "number": "1336840198",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14891 67TH TRL N",
            "city": "PALM BEACH GARDENS",
            "state": "FL",
            "postal_code": "334181961",
            "telephone_number": "561-215-8445"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1115 45TH ST STE 1",
            "city": "MANGONIA PARK",
            "state": "FL",
            "postal_code": "334072378",
            "telephone_number": "561-215-8445"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SAHADEO",
        "first_name": "SANDY",
        "middle_name": "CHAND",
        "credential": "APRN-PMHNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-03-16",
        "last_updated": "2025-04-21",
        "certification_date": "2025-04-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "FL",
            "license": "11025306",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mangonia Park, FL

Sources for this page

Verify at the official NPI Registry.