Active NPI
Crystal Sandoval-Vanaria
- Psychologist
- Merrillville, IN
National Provider Identifier
1801225131
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- Practice address
- 8200 Georgia St
Merrillville, IN 46410-6227 - Phone
- (219) 791-1400
- Fax
- (219) 791-1422
- NPI assigned
- Nov 7, 2013
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychologist | 103T00000X | Primary | ||
| Mental Health Counselor | 101YM0800X |
Addresses
Primary practice location
8200 Georgia St
Merrillville, IN 46410-6227
Mailing address
8200 Georgia St
Merrillville, IN 46410-6227
Phone (219) 791-1400
Other practice location 1
8091 Randolph St
Hobart, IN 46342-7068
Phone (219) 791-1400
Other names 1
- Crystal Sandoval
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Innovations in Learning, PC | Mental Health | Past | Accepting new patients |
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": "1383782400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1728000000000",
"number": "1801225131",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8200 GEORGIA ST",
"city": "MERRILLVILLE",
"state": "IN",
"postal_code": "464106227",
"telephone_number": "219-791-1400",
"fax_number": "219-791-1422"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8200 GEORGIA ST",
"city": "MERRILLVILLE",
"state": "IN",
"postal_code": "464106227",
"telephone_number": "219-791-1400",
"fax_number": "219-791-1422"
}
],
"practiceLocations": [
{
"address_1": "8091 Randolph St",
"address_purpose": "LOCATION",
"city": "Hobart",
"state": "IN",
"postal_code": "463427068",
"country_code": "US",
"telephone_number": "219-791-1400",
"fax_number": "219-791-1422",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "SANDOVAL-VANARIA",
"first_name": "CRYSTAL",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2013-11-07",
"last_updated": "2024-10-04",
"certification_date": "2024-10-04",
"status": "A"
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": null,
"license": null,
"primary": true
},
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "CRYSTAL",
"last_name": "SANDOVAL",
"code": "1",
"type": "Former Name"
}
]
}Other providers in Merrillville, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 4, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.