Active NPI
Crystal Hennah Sarbuland, M.A.
- Marriage & Family Therapist
- Redlands, CA
National Provider Identifier
1831552678
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Marriage & Family Therapist
- License
- 122178
- Practice address
- 1812 W Park Ave
Redlands, CA 92373-8014 - Phone
- (909) 649-1358
- NPI assigned
- Mar 30, 2016
- 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 |
|---|---|---|---|---|
| Marriage & Family Therapist | 106H00000X | IMF87634 | CA | |
| Marriage & Family Therapist | 106H00000X | 122178 | CA | Primary |
Addresses
Primary practice location
1812 W Park Ave
Redlands, CA 92373-8014
Mailing address
10406 Severn St
Redlands, CA 92374-2886
Phone (909) 649-1358
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
- Credentials
- Master of Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| IMF87634 | CA | MD | Marriage & Family Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| New Sahar Counseling Services | Marriage & Family Therapist | Current | Accepting new patients |
| San Bernardino County Superintendent of Schools | Past | Accepting new patients | |
| San Bernardino County Superintendent of Schools | Past | Accepting new patients |
Organizations & group practices 3
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.
-
- Marriage & Family Therapist
- San Bernardino, CA
- NPI 1477136117
-
- Community/Behavioral Health Agency
- Redlands, CA
- NPI 1033668066
-
- Mental Health Counselor
- Redlands, CA
- NPI 1104183763
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1459296000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1675900800000",
"number": "1831552678",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10406 SEVERN ST",
"city": "REDLANDS",
"state": "CA",
"postal_code": "923742886",
"telephone_number": "909-649-1358"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1812 W PARK AVE",
"city": "REDLANDS",
"state": "CA",
"postal_code": "923738014",
"telephone_number": "909-649-1358"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SARBULAND",
"first_name": "CRYSTAL",
"middle_name": "HENNAH",
"credential": "M.A.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2016-03-30",
"last_updated": "2023-02-09",
"certification_date": "2023-02-09",
"status": "A"
},
"taxonomies": [
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "CA",
"license": "IMF87634",
"primary": false
},
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "CA",
"license": "122178",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Redlands, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 9, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.