Active NPI
G. Nohl Sandall, PH. D.
- Psychologist
- Afton, WY
National Provider Identifier
1851446124
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- License
- 158
- Practice address
- 206 Madison St.
Afton, WY 83110-0884 - Phone
- (307) 885-3914
- NPI assigned
- Jan 24, 2007
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychologist | 103T00000X | 158 | WY | Primary |
Addresses
Primary practice location
206 Madison St.
Afton, WY 83110-0884
Mailing address
PO Box 884
Afton, WY 83110-0884
Phone (307) 885-3914
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
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 158 | WY | MD | Physician Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1169596800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1851446124",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 884",
"city": "AFTON",
"state": "WY",
"postal_code": "831100884",
"telephone_number": "307-885-3914"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "206 MADISON ST.",
"city": "AFTON",
"state": "WY",
"postal_code": "831100884",
"telephone_number": "307-885-3914"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SANDALL",
"first_name": "G.",
"middle_name": "NOHL",
"name_prefix": "Dr.",
"credential": "PH. D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-01-24",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "WY",
"license": "158",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Afton, WY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.