Letitia S Sandrock, PSY.D.

Primary specialty

PsychologistTaxonomy code 103T00000X

License

4108 Issued in NJ

Practice address

64A White St
Red Bank, NJ 07701-1635

Phone

(732) 778-5652

Fax

(866) 293-7693

NPI assigned

Oct 11, 2006

Sex

Female

Sole proprietor

Yes

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 NJ

Eligible to order & refer

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

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

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.

• Guardian Eldercare PC

  • Community/Behavioral Health Agency
  • Hackensack, NJ
  • NPI 1194888008
  NPD (past)

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

{
    "created_epoch": "1160524800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1525132800000",
    "number": "1932297181",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "64A WHITE ST",
            "city": "RED BANK",
            "state": "NJ",
            "postal_code": "077011635",
            "telephone_number": "732-778-5652",
            "fax_number": "866-293-7693"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "64A WHITE ST",
            "city": "RED BANK",
            "state": "NJ",
            "postal_code": "077011635",
            "telephone_number": "732-778-5652",
            "fax_number": "866-293-7693"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SANDROCK",
        "first_name": "LETITIA",
        "middle_name": "S",
        "name_prefix": "Dr.",
        "credential": "PSY.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-10-11",
        "last_updated": "2018-05-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "NJ",
            "license": "4108",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Manish Kumar Saini, M.D
• Anca Marie Salaru, MD
• Thomas Salmon, DC
• Osayuware Samuel-Olagunju, LPC
• Venizya Sanchez, PA-C
• Rebecca Lynn Sanell, DDS
• Isabella Ann Sanez, PT, DPT
• Lesley Sanfilippo, LSW
• Steven Sanfilippo, D.C.
• Richard M. Sanford, D.C.

• Psychologist in Red Bank, NJ
• Providers in Red Bank, NJ by specialty
• Psychologist in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 1, 2018; 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.