Individual provider Active NPI

Erin Sandler, PSY.D.

  • Psychologist
  • Concord, NH
National Provider Identifier
1639697311
Registry record updated Apr 23, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
1441 Issued in NH
Practice address
21 Green St
Concord, NH 03301-4000
Phone
(603) 225-2985
NPI assigned
Sep 1, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 23, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X 1441 NH
Psychologist 103T00000X 1441 NH Primary

Addresses

Primary practice location

21 Green St
Concord, NH 03301-4000

Mailing address

21 Green St
Concord, NH 03301-4000
Phone (603) 225-2985

Other practice location 1

105 Loudon Rd Bldg 3
Concord, NH 03301-5600
Phone (603) 228-0547

Other identifiers 1

IdentifierTypeStateIssuer
3117846MedicaidNH

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210126003176 NH Practitioner - Clinical Psychologist 8123432549 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Womankind Counseling CenterGroup PAC ID 1456364892, 6 clinicians

Practice addresses (Care Compare)

21 Green St
Concord, NH 03301-4000
Phone (603) 225-2985

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1441NHMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Womankind Counseling Center Psychologist CurrentSince Jan 6, 2021 Accepting new patients

Locations

21 Green St
Concord, NH 03301
Phone (603) 224-0971

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1504224000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1619136000000",
    "number": "1639697311",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21 GREEN ST",
            "city": "CONCORD",
            "state": "NH",
            "postal_code": "033014000",
            "telephone_number": "603-225-2985"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21 GREEN ST",
            "city": "CONCORD",
            "state": "NH",
            "postal_code": "033014000",
            "telephone_number": "603-225-2985"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "105 Loudon Rd Bldg 3",
            "address_purpose": "LOCATION",
            "city": "Concord",
            "state": "NH",
            "postal_code": "033015600",
            "country_code": "US",
            "telephone_number": "603-228-0547",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SANDLER",
        "first_name": "ERIN",
        "credential": "PSY.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-09-01",
        "last_updated": "2021-04-23",
        "certification_date": "2021-04-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "NH",
            "license": "1441",
            "primary": false
        },
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "NH",
            "license": "1441",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3117846",
            "state": "NH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Concord, NH

Sources for this page

Verify at the official NPI Registry.