Individual provider Active NPI

Jacqueline Sands, PSYD., LMHC

  • Counselor
  • North Andover, MA
National Provider Identifier
1831449644
Registry record updated Sep 25, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
CounselorTaxonomy code 101Y00000X
License
11564 Issued in MA
Practice address
800 Turnpike St Ste 201
North Andover, MA 01845-6156
Phone
(781) 646-0500
NPI assigned
Sep 19, 2012
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 25, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Counselor 101Y00000X 11564 MA Primary

Addresses

Primary practice location

800 Turnpike St Ste 201
North Andover, MA 01845-6156

Mailing address

874 Union St
Manchester, NH 03104-3111
Phone (786) 683-2682

Other practice location 1

269 Union St
Lynn, MA 01901-1314
Phone (781) 581-3900

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

State licenses

LicenseStateTypeSpecialty
11564MAMDCounselor

Practice roles

OrganizationSpecialtyStatusNew patients
Child and Family Psychological Services, PLLC CurrentSince Sep 27, 2020 Accepting new patients
Shanti Orange County Past Accepting new patients

Locations

800 Turnpike St
Ste 201
North Andover, MA 01845
Phone (351) 232-2018

Organizations & group practices 2

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": "1348012800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1600992000000",
    "number": "1831449644",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "874 UNION ST",
            "city": "MANCHESTER",
            "state": "NH",
            "postal_code": "031043111",
            "telephone_number": "786-683-2682"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "800 TURNPIKE ST STE 201",
            "city": "NORTH ANDOVER",
            "state": "MA",
            "postal_code": "018456156",
            "telephone_number": "781-646-0500"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "269 Union St",
            "address_purpose": "LOCATION",
            "city": "Lynn",
            "state": "MA",
            "postal_code": "019011314",
            "country_code": "US",
            "telephone_number": "781-581-3900",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SANDS",
        "first_name": "JACQUELINE",
        "name_prefix": "Dr.",
        "credential": "PSYD., LMHC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-09-19",
        "last_updated": "2020-09-25",
        "certification_date": "2020-08-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "MA",
            "license": "11564",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in North Andover, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 25, 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.