Sandra Vidal, M.S.

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

IMH6318 Issued in FL

Practice address

4425 Park Blvd
Pinellas Park, FL 33781-3540

Phone

(727) 235-3429

NPI assigned

Nov 27, 2007

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Science

State licenses

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

{
    "created_epoch": "1196121600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1196121600000",
    "number": "1730361262",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12001 DR MARTIN LUTHER KING JR ST N",
            "address_2": "APT 2611",
            "city": "ST PETERSBURG",
            "state": "FL",
            "postal_code": "337161618",
            "telephone_number": "941-284-1821"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4425 PARK BLVD",
            "city": "PINELLAS PARK",
            "state": "FL",
            "postal_code": "337813540",
            "telephone_number": "727-235-3429"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VIDAL",
        "first_name": "SANDRA",
        "credential": "M.S.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-11-27",
        "last_updated": "2007-11-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "FL",
            "license": "IMH6318",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Laura Varley
• Eduardo Jose Vejas Castillero Jr., M.D.
• Vanessa Velazquez Ruiz, MD
• Sara Velez
• Destiny Leigh Verdi
• Julio Viera, MA
• Merly Villabroza
• Juana Mari Villavicencio, CLD
• Lucia Vinciguerra, BA
• Virginia Ann Schekorra PA

• Mental Health Counselor in Pinellas Park, FL
• Providers in Pinellas Park, FL by specialty
• Mental Health Counselor in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 27, 2007; 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.