Natalie Jo Sandbulte, PSY.D.

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

000567 Issued in IA

Practice address

910 10TH St
Milford, IA 51351-1530

Phone

(712) 338-6200

Fax

(712) 338-6205

NPI assigned

Jan 10, 2013

Last updated

Jan 31, 2020By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in IA

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

Specialty

Clinical Psychologist

Education

Other, 2009

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Elevate Therapy and Assessment, PLLCGroup PAC ID 6709213507, 9 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

State licenses

Practice roles

Locations

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.

• Elevate Therapy & Assessment, PLLC

  • Clinical Psychologist
  • Milford, IA
  • NPI 1568092195
  Medicare reassignment Care Compare group NPD Authorized official
• Champion State of Mind PLLC

  • Mental Health Counselor
  • Estherville, IA
  • NPI 1033578331
  NPD (past)

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

{
    "created_epoch": "1357776000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1580428800000",
    "number": "1730426768",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 132",
            "city": "MILFORD",
            "state": "IA",
            "postal_code": "513510132",
            "telephone_number": "712-338-6200",
            "fax_number": "712-338-6205"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "910 10TH ST",
            "city": "MILFORD",
            "state": "IA",
            "postal_code": "513511530",
            "telephone_number": "712-338-6200",
            "fax_number": "712-338-6205"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "201 E 11th St",
            "address_purpose": "LOCATION",
            "city": "Spencer",
            "state": "IA",
            "postal_code": "513014436",
            "country_code": "US",
            "telephone_number": "712-262-2922",
            "fax_number": "712-262-3826",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SANDBULTE",
        "first_name": "NATALIE",
        "middle_name": "JO",
        "name_prefix": "Dr.",
        "credential": "PSY.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-01-10",
        "last_updated": "2020-01-31",
        "certification_date": "2020-01-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "IA",
            "license": "000567",
            "primary": true
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "IA",
            "license": "001153",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Randy Joseph Pas, DDS
• Steven Robert Powers, DDS
• Megan Olivia Pressgrove, DPT, PT
• Danielle J Ries, O.D.
• Ryan Knox Rohlk, D.C.
• Jordan Schmidt, DC
• Spencer Municipal Hospital (Milford Family Care)
• Spencer Municipal Hospital (Nurse Practitioner Group)
• Ciara Jade Sweeney, LMHC
• The Evangelical Lutheran Good Samaritan Society (Good Samaritan Society - Home Care)

• Clinical Psychologist in Milford, IA
• Providers in Milford, IA by specialty
• Clinical Psychologist in Iowa

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 31, 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.

Verify at the official NPI Registry.