Active NPI
Sandra Lynn Tatchell
- Marriage & Family Therapist
- Rancho Mirage, CA
National Provider Identifier
1578870010
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Marriage & Family Therapist
- License
- 104685
- Practice address
- 70115 Highway 111
Rancho Mirage, CA 92270-2915 - Phone
- (760) 776-0630
- NPI assigned
- Sep 3, 2010
- 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 |
|---|---|---|---|---|
| Marriage & Family Therapist | 106H00000X | 104685 | CA | Primary |
Addresses
Primary practice location
70115 Highway 111
Rancho Mirage, CA 92270-2915
Mailing address
70115 Highway 111
Rancho Mirage, CA 92270-2915
Phone (760) 776-0630
Other practice location 1
47825 Oasis St
Indio, CA 92201-6950
Phone (760) 863-8455
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Marriage and Family Therapist
- Education
- Other, 2011
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
191 N Sunrise Way
Palm Springs, CA 92262-5201
Phone (760) 778-2210
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 104685 | CA | MD | Marriage & Family Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| County of Riverside | Current | Accepting new patients | |
| County of Riverside | Current | Accepting new patients | |
| County of Riverside | Current | Accepting new patients |
Locations
47825 Oasis St
Indio, CA 92201
Phone (760) 863-8455
308 E San Jacinto Ave
Perris, CA 92570
Phone (951) 940-6700
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.
-
- Federally Qualified Health Center (FQHC)
- Indio, CA
- NPI 1023122967
-
- Federally Qualified Health Center (FQHC)
- Perris, CA
- NPI 1194839035
-
- Clinical Medical Laboratory
- Riverside, CA
- NPI 1952496010
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1283472000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1583280000000",
"number": "1578870010",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "70115 HIGHWAY 111",
"city": "RANCHO MIRAGE",
"state": "CA",
"postal_code": "922702915",
"telephone_number": "760-776-0630"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "70115 HIGHWAY 111",
"city": "RANCHO MIRAGE",
"state": "CA",
"postal_code": "922702915",
"telephone_number": "760-776-0630"
}
],
"practiceLocations": [
{
"address_1": "47825 Oasis St",
"address_purpose": "LOCATION",
"city": "Indio",
"state": "CA",
"postal_code": "922016950",
"country_code": "US",
"telephone_number": "760-863-8455",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "TATCHELL",
"first_name": "SANDRA",
"middle_name": "LYNN",
"name_prefix": "Ms.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2010-09-03",
"last_updated": "2020-03-04",
"certification_date": "2020-03-04",
"status": "A"
},
"taxonomies": [
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "CA",
"license": "104685",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Rancho Mirage, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 4, 2020; 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.