Sandhya Joy Shanley

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

License

CNP211424 Issued in ME

Practice address

300 Bragdon Rd
Wells, ME 04090-6603

Phone

(207) 504-0988

NPI assigned

Nov 20, 2021

Last updated

Nov 20, 2021By the provider in NPPES

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

Enrolled in VT

Eligible to order & refer

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

Green means eligible to order or refer.

Enrollment records 1

Specialty

Nurse Practitioner

Education

Other, 2021

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Northeast Kingdom Human Services IncGroup PAC ID 0941276703, 17 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Northeastern Vermont Regional Hospital Hospital, Saint Johnsbury, VT, CCN 471303

Merit-based Incentive Payment System (MIPS)

Final score

97.93 of 100Reported as apm

Quality

83.31

Promoting interoperability

100

Improvement activities

40

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Northeast Kingdom Human Services Inc

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Newport, VT
  • NPI 1043372709
  Medicare reassignment Care Compare group NPD

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Northeastern Vermont Regional Hospital Inc.

  dba NVRH Corner Medical

  • Primary Care Clinic/Center
  • Lyndonville, VT
  • NPI 1659459428

  Hospital

  Care Compare affiliation
• Northeastern Vermont Regional Hospital Inc.

  dba NVRH Podiatry Clinic

  • Podiatrist
  • St Johnsbury, VT
  • NPI 1710631635

  Hospital

  Care Compare affiliation
• Northeastern Vermont Regional Hospital, Inc

  • Critical Access Hospital
  • St Johnsbury, VT
  • NPI 1275576704
  Care Compare affiliation

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

{
    "created_epoch": "1637366400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1637366400000",
    "number": "1871250241",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "300 BRAGDON RD",
            "city": "WELLS",
            "state": "ME",
            "postal_code": "040906603",
            "telephone_number": "207-504-0988"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 BRAGDON RD",
            "city": "WELLS",
            "state": "ME",
            "postal_code": "040906603",
            "telephone_number": "207-504-0988"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHANLEY",
        "first_name": "SANDHYA",
        "middle_name": "JOY",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-11-20",
        "last_updated": "2021-11-20",
        "certification_date": "2021-11-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "ME",
            "license": "CNP211424",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ellen Constance Salvatore-Voisine, LCSW
• Sandy Mait LLC
• Chloe Schmir, PA-C
• Sea Side Senior Care, LLC (Home Instead)
• James Matthew Gutzeit Shafer, LPC-C
• Edward L. Sharood, LCPC-C, CADA, DEEP
• Shields Imaging at York Hospital LLC
• Solace Care
• Southern Maine Speech Pathways LLC
• Southern Maine Wellness Works, LLC (Southern Maine Integrative Health Center)

• Psychiatric/Mental Health Nurse Practitioner in Wells, ME
• Providers in Wells, ME by specialty
• Psychiatric/Mental Health Nurse Practitioner in Maine

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 20, 2021; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.