Sandcastle Preschool Program Foundation, Inc

Primary specialty

Early Intervention Provider AgencyTaxonomy code 252Y00000X

License

215544 Issued in ME

Legal business name

SANDCASTLE PRESCHOOL PROGRAM FOUNDATION, INC

Doing business as

LA Hearing Center
Sandcastle Clinical and Educational Services

Practice address

72 Strawberry Ave
Lewiston, ME 04240-5952

Phone

(207) 782-2150

Fax

(207) 782-3621

NPI assigned

Mar 29, 2007

Organization subpart

No

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

Authorized official

Name

Mrs. Stephanie Gelinas, M.S,CCC-SLP

Title

Executive Director

Phone

(207) 782-2150

Specialties & licenses 6

Addresses

Other identifiers 2

Other names 2

• LA Hearing Center Doing business as
• Sandcastle Clinical and Educational Services Doing business as

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

{
    "created_epoch": "1175126400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1559520000000",
    "number": "1881714491",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "72 STRAWBERRY AVE",
            "city": "LEWISTON",
            "state": "ME",
            "postal_code": "042405952",
            "telephone_number": "207-782-2150",
            "fax_number": "207-782-3621"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "72 STRAWBERRY AVE",
            "city": "LEWISTON",
            "state": "ME",
            "postal_code": "042405952",
            "telephone_number": "207-782-2150",
            "fax_number": "207-782-3621"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SANDCASTLE PRESCHOOL PROGRAM FOUNDATION, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-29",
        "last_updated": "2019-06-03",
        "status": "A",
        "authorized_official_last_name": "GELINAS",
        "authorized_official_first_name": "STEPHANIE",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "207-782-2150",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "M.S,CCC-SLP"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Occupational Therapist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "231H00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Audiologist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Speech-Language Pathologist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "252Y00000X",
            "taxonomy_group": "",
            "desc": "Early Intervention Provider Agency",
            "state": "ME",
            "license": "215544",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM BLUE CROSS BLUE SH",
            "identifier": "040506743",
            "state": "ME"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "130080000",
            "state": "ME"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "LA Hearing Center",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Sandcastle Clinical and Educational Services",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Sandcastle Clinical and Educational Services",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Megan Salois, CADC
• Kristel Lynn Samson, LCSW
• Shirin Sanal, MD
• Haley Anne Sanborn, MS, RD
• Tiara Sanborn, D.O.
• Nathaniel M Sands, FNP
• Judith Ann Santos, LCSW
• Umesh C Sarma, M.D.
• Cheryl A Sarton, CNM
• Sasseville Healthy Smile Dental Hygiene & Wellness

• Early Intervention Provider Agency in Lewiston, ME
• Providers in Lewiston, ME by specialty
• Early Intervention Provider Agency in Maine

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 3, 2019; 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.