Genell G Sandberg, PHD

Primary specialty

PsychologistTaxonomy code 103T00000X

License

00562 Issued in IA

Practice address

2601 Apache CT
Sioux City, IA 51104-1504

Phone

(712) 239-1111

Fax

(712) 239-1199

NPI assigned

Dec 2, 2005

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

State licenses

Practice roles

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.

• C3, Inc

  • Nutrition Chiropractor
  • Sioux City, IA
  • NPI 1982896353
  NPD (past)

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

{
    "created_epoch": "1133481600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1299715200000",
    "number": "1851375802",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2601 APACHE CT",
            "city": "SIOUX CITY",
            "state": "IA",
            "postal_code": "511041504",
            "telephone_number": "712-239-1111",
            "fax_number": "712-239-1199"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2601 APACHE CT",
            "city": "SIOUX CITY",
            "state": "IA",
            "postal_code": "511041504",
            "telephone_number": "712-239-1111",
            "fax_number": "712-239-1199"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SANDBERG",
        "first_name": "GENELL",
        "middle_name": "G",
        "credential": "PHD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-12-02",
        "last_updated": "2011-03-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "IA",
            "license": "00562",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• William Oliver Samuelson, MD
• Castelia Y Sanchez
• Hilary Nicole Sanchez, OTD,OTR/L
• Raul Sanchez, PH.D
• Alisha Sandage, R.D., L.D., L.M.N.T
• Larissa Sands, LISW
• Madison Sands
• Sanford Clinic
• J Scott Sanford, R.PH.
• Frank H Sargent, DDS MS

• Psychologist in Sioux City, IA
• Providers in Sioux City, IA by specialty
• Psychologist in Iowa

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 10, 2011; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.