Active NPI
Astrid Maria Sande, M.D.
- Psychiatry Physician
- Melbourne, FL
National Provider Identifier
1578799300
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- License
- ME101874
- Practice address
- 6767 N Wickham Rd
Suite 306
Melbourne, FL 32940-2031 - Phone
- (321) 751-1925
- Fax
- (321) 751-9261
- NPI assigned
- Jun 8, 2009
- Last updated
- Dec 28, 2011
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatry Physician | 2084P0800X | ME101874 | FL | Primary |
Addresses
Primary practice location
6767 N Wickham Rd
Suite 306
Melbourne, FL 32940-2031
Mailing address
6767 N Wickham Rd
Suite 306
Melbourne, FL 32940-2031
Phone (321) 751-1925
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 75071 | Other | FL | BCBS |
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: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Psychiatry
- Education
- University Central del Caribe Escuela de Medicina, 2002
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
6767 N Wickham Rd
Melbourne, FL 32940-2025
Phone (321) 751-1925
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Psychology Associates of Brevard PLC | Psychiatry | Current | Accepting new patients |
Locations
6767 N Wickham Rd
Ste 306
Melbourne, FL 32940
Phone (321) 751-1925
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1244419200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1325030400000",
"number": "1578799300",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6767 N WICKHAM RD",
"address_2": "SUITE 306",
"city": "MELBOURNE",
"state": "FL",
"postal_code": "329402031",
"telephone_number": "321-751-1925",
"fax_number": "321-751-9261"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6767 N WICKHAM RD",
"address_2": "SUITE 306",
"city": "MELBOURNE",
"state": "FL",
"postal_code": "329402031",
"telephone_number": "321-751-1925",
"fax_number": "321-751-9261"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SANDE",
"first_name": "ASTRID",
"middle_name": "MARIA",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2009-06-08",
"last_updated": "2011-12-28",
"status": "A"
},
"taxonomies": [
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "FL",
"license": "ME101874",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "75071",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Melbourne, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 28, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.