Organization Active NPI

Sandra K. Faust, PH.D. P.a.

  • Mental Health Counselor
  • Stuart, FL
National Provider Identifier
1770662033
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
LMHC 1474 Issued in FL
Legal business name
SANDRA K. FAUST, PH.D. P.A.
Practice address
508 SE Osceola St
Stuart, FL 34994-2322
Phone
(772) 463-4190
Fax
(772) 223-6313
NPI assigned
Nov 6, 2006
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Sandra Kaye Faust, PH.D.
Title
Presdient
Phone
(772) 463-4190

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X LMHC 1474 FL Primary

Addresses

Primary practice location

508 SE Osceola St
Stuart, FL 34994-2322

Mailing address

508 SE Osceola St
Stuart, FL 34994-2322
Phone (772) 463-4190

National Provider Directory

National Provider Directory

Locations

508 SE Osceola St
Stuart, FL 34994
Phone (772) 261-6509

NPI Registry JSON

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

{
    "created_epoch": "1162771200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1770662033",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "508 SE OSCEOLA ST",
            "city": "STUART",
            "state": "FL",
            "postal_code": "349942322",
            "telephone_number": "772-463-4190",
            "fax_number": "772-223-6313"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "508 SE OSCEOLA ST",
            "city": "STUART",
            "state": "FL",
            "postal_code": "349942322",
            "telephone_number": "772-463-4190",
            "fax_number": "772-223-6313"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SANDRA K. FAUST, PH.D. P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-06",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "FAUST",
        "authorized_official_first_name": "SANDRA",
        "authorized_official_middle_name": "KAYE",
        "authorized_official_title_or_position": "PRESDIENT",
        "authorized_official_telephone_number": "772-463-4190",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PH.D."
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "FL",
            "license": "LMHC 1474",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Stuart, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.