Organization Active NPI

Sanctuary Wellness and Education, LLC.

  • School Psychologist
  • Beachwood, OH
National Provider Identifier
1639718208
Registry record updated Aug 5, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
School PsychologistTaxonomy code 103TS0200X
Legal business name
SANCTUARY WELLNESS AND EDUCATION, LLC.
Practice address
3401 Enterprise Pkwy Ste 340
Beachwood, OH 44122-7340
Phone
(216) 273-6020
Fax
(216) 998-0246
NPI assigned
Dec 31, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 5, 2025

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

Authorized official

Name
Chaquita Niamke, PSY.S., LSPSYNPI 1760881189
Title
School Psychologist
Phone
(216) 273-6020

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
School PsychologistGroup: 193400000X SINGLE SPECIALTY GROUP 103TS0200X Primary

Addresses

Primary practice location

3401 Enterprise Pkwy Ste 340
Beachwood, OH 44122-7340

Mailing address

5110 Abigail Dr
Lyndhurst, OH 44124-1077
Phone (216) 273-6020

Other identifiers 2

IdentifierTypeStateIssuer
0248411MedicaidOH
0404972MedicaidOH

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1577750400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1754352000000",
    "number": "1639718208",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5110 ABIGAIL DR",
            "city": "LYNDHURST",
            "state": "OH",
            "postal_code": "441241077",
            "telephone_number": "216-273-6020",
            "fax_number": "216-998-0246"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3401 ENTERPRISE PKWY STE 340",
            "city": "BEACHWOOD",
            "state": "OH",
            "postal_code": "441227340",
            "telephone_number": "216-273-6020",
            "fax_number": "216-998-0246"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SANCTUARY WELLNESS AND EDUCATION, LLC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-12-31",
        "last_updated": "2025-08-05",
        "certification_date": "2025-08-05",
        "status": "A",
        "authorized_official_last_name": "NIAMKE",
        "authorized_official_first_name": "CHAQUITA",
        "authorized_official_title_or_position": "SCHOOL PSYCHOLOGIST",
        "authorized_official_telephone_number": "216-273-6020",
        "authorized_official_credential": "PSY.S., LSPSY"
    },
    "taxonomies": [
        {
            "code": "103TS0200X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist, School",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0248411",
            "state": "OH"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0404972",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Beachwood, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 5, 2025; 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.