Eleanor Bandin Sade, MSCP, LISAC

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

Practice address

549 Kawainui St
Kailua, HI 96734

Phone

(623) 451-4850

NPI assigned

Aug 24, 2009

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1251072000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1529366400000",
    "number": "1972736064",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "549 KAWAINUI ST",
            "city": "KAILUA",
            "state": "HI",
            "postal_code": "967342408",
            "telephone_number": "623-451-4850",
            "fax_number": "623-451-4850"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "549 KAWAINUI ST",
            "city": "KAILUA",
            "state": "HI",
            "postal_code": "96734",
            "telephone_number": "623-451-4850"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "25560 W US Highway 85",
            "address_2": "Ste. 5",
            "address_purpose": "LOCATION",
            "city": "Buckeye",
            "state": "AZ",
            "postal_code": "853265282",
            "country_code": "US",
            "telephone_number": "623-386-3560",
            "fax_number": "623-386-3562",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SADE",
        "first_name": "ELEANOR",
        "middle_name": "BANDIN",
        "name_prefix": "Ms.",
        "credential": "MSCP, LISAC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-08-24",
        "last_updated": "2018-06-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "AZ",
            "license": "11803",
            "primary": false
        },
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "HI",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "450399",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• John Jeffrey Ryan, M.D.
• Tyler D Ryan, D.C.
• S.T.a.R.R.(Sobrietytraining & Recovery Resources) Inc.
• Rhema Sabate, DC
• Noriko Sabatine
• Safeway Inc
• Ryu Sakakura, PHARMD
• Sara M Sakamoto, MD
• Sean Kiyo Sakata
• Michael K Sakuda, DDS

• Behavior Analyst in Kailua, HI
• Providers in Kailua, HI by specialty
• Behavior Analyst in Hawaii

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 19, 2018; 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.