Individual provider Active NPI

Sandra Denise Ekeinde, PHD

  • Counseling Psychologist
  • Phoenix, AZ
National Provider Identifier
1851690226
Registry record updated Mar 23, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Counseling PsychologistTaxonomy code 103TC1900X
License
4085 Issued in AZ
Practice address
4350 E Camelback Rd
Suite B210
Phoenix, AZ 85018-2701
Phone
(602) 343-8232
NPI assigned
Mar 23, 2011
Last updated
Mar 23, 2011By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 23, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Counseling Psychologist 103TC1900X 4085 AZ Primary

Addresses

Primary practice location

4350 E Camelback Rd
Suite B210
Phoenix, AZ 85018-2701

Mailing address

349 E Thomas Rd
#E308
Phoenix, AZ 85012-3209
Phone (480) 238-0990

Other names 1

  • Sandra Denise Ekeinde Professional name

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)
Enrolled
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
4085AZMDCounseling Psychologist

NPI Registry JSON

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

{
    "created_epoch": "1300838400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1300838400000",
    "number": "1851690226",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "349 E THOMAS RD",
            "address_2": "#E308",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850123209",
            "telephone_number": "480-238-0990"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4350 E CAMELBACK RD",
            "address_2": "SUITE B210",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850182701",
            "telephone_number": "602-343-8232"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EKEINDE",
        "first_name": "SANDRA",
        "middle_name": "DENISE",
        "name_prefix": "Dr.",
        "credential": "PHD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-03-23",
        "last_updated": "2011-03-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC1900X",
            "taxonomy_group": "",
            "desc": "Psychologist, Counseling",
            "state": "AZ",
            "license": "4085",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SANDRA",
            "last_name": "EKEINDE",
            "middle_name": "DENISE",
            "credential": "PHD",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Phoenix, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 23, 2011; 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.