Sand Dollar Psychiatric Services

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

Legal business name

SAND DOLLAR PSYCHIATRIC SERVICES

Practice address

137 Crystal Beach Dr Ste 137-C
Destin, FL 32541-3569

Phone

(850) 226-7100

NPI assigned

Oct 12, 2006

Organization subpart

No

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

Authorized official

Name

Mrs. Rebecca L Shelton

Title

Office Manager

Phone

(850) 226-7100

Specialties & licenses 2

Addresses

Other identifiers 1

Locations

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Eric E Goldberg, DO

  • Psychiatry Physician
  • Destin, FL
  • NPI 1679524946

  Psychiatry

  NPD
• Annetta M. G. Davenport, LMHC

  • Mental Health Counselor
  • Mary Esther, FL
  • NPI 1710294749
  NPD (past)
• Mary Kathleen Hensley, LMHC

  • Mental Health Counselor
  • Destin, FL
  • NPI 1568951176
  NPD (past)
• Diana F Melazzo, DO

  • Psychiatry Physician
  • Panama City, FL
  • NPI 1164417564

  Psychiatry

  NPD (past)

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

{
    "created_epoch": "1160611200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1546214400000",
    "number": "1467541144",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1648",
            "city": "DESTIN",
            "state": "FL",
            "postal_code": "325401648",
            "telephone_number": "850-226-7100"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "137 CRYSTAL BEACH DR STE 137-C",
            "city": "DESTIN",
            "state": "FL",
            "postal_code": "325413569",
            "telephone_number": "850-226-7100"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "68 Beal Pkwy SW",
            "address_purpose": "LOCATION",
            "city": "Fort Walton Beach",
            "state": "FL",
            "postal_code": "325485331",
            "country_code": "US",
            "telephone_number": "850-243-7035",
            "fax_number": "850-243-8529",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "137 Crystal Beach Dr Ste 121B",
            "address_purpose": "LOCATION",
            "city": "Destin",
            "state": "FL",
            "postal_code": "32541",
            "country_code": "US",
            "telephone_number": "508-842-4308",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "SAND DOLLAR PSYCHIATRIC SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-12",
        "last_updated": "2018-12-31",
        "status": "A",
        "authorized_official_last_name": "SHELTON",
        "authorized_official_first_name": "REBECCA",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "850-226-7100",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Pediatrics",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS FL",
            "identifier": "57629",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Helen Rutledge
• Sacred Heart Medical Group
• Sacred Heart Medical Group
• John T Saeva, D.P.M
• Elizabeth Peebles Sager, M.D.
• Diana Lorraine Sandevski, LMHC
• Lyle J Sandquist, PHD LMFT
• Terrica Sapp, PHARMD
• Kalyn Saunders, CRNA
• Scenic 30a Investments LLC

• All providers in Destin, FL
• Psychiatry Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 31, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.