Sandra Shallcross PHD LLC

Primary specialty

Counseling PsychologistTaxonomy code 103TC1900X

License

LP5803 Issued in MN

Legal business name

SANDRA SHALLCROSS PHD LLC

Practice address

211 N 1St St
Ste 430
Minneapolis, MN 55401-1480

Phone

(612) 524-8119

NPI assigned

Mar 13, 2017

Organization subpart

No

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

Authorized official

Name

Dr. Sandra Shallcross, PHD

Title

Psychologist

Phone

(612) 524-8119

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1489363200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1489363200000",
    "number": "1952842783",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "211 N 1ST ST",
            "address_2": "STE 430",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554011480",
            "telephone_number": "612-524-8119"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "211 N 1ST ST",
            "address_2": "STE 430",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554011480",
            "telephone_number": "612-524-8119"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SANDRA SHALLCROSS PHD LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-03-13",
        "last_updated": "2017-03-13",
        "status": "A",
        "authorized_official_last_name": "SHALLCROSS",
        "authorized_official_first_name": "SANDRA",
        "authorized_official_title_or_position": "PSYCHOLOGIST",
        "authorized_official_telephone_number": "612-524-8119",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHD"
    },
    "taxonomies": [
        {
            "code": "103TC1900X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist, Counseling",
            "state": "MN",
            "license": "LP5803",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Yvonne C Sando, LICSW
• Carolina Sandoval Garcia, M.D.
• Yader Benito Sandoval Pichardo, MD
• Afsar Naseem Khatoon Sandozi, MD
• Jonah David Sandquist
• Ali D Sands, CMT
• Evelyn Ruth Sands, PT
• Alaina Sandvig, RN
• Rachel Catherine Sandvig, MSN
• Shashikant M Sane, MD

• Counseling Psychologist in Minneapolis, MN
• Providers in Minneapolis, MN by specialty
• Counseling Psychologist in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 13, 2017; 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.