Provider Demographics
NPI:1467263186
Name:SANDRA NESHEIM PSYCHOLOGIST, INC.
Entity type:Organization
Organization Name:SANDRA NESHEIM PSYCHOLOGIST, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CLINICAL PSYCHOLOGIST
Authorized Official - Prefix:DR
Authorized Official - First Name:SANDRA
Authorized Official - Middle Name:MARIE
Authorized Official - Last Name:NESHEIM
Authorized Official - Suffix:
Authorized Official - Credentials:PSYD
Authorized Official - Phone:831-776-8942
Mailing Address - Street 1:30 E SAN JOAQUIN ST STE 201
Mailing Address - Street 2:
Mailing Address - City:SALINAS
Mailing Address - State:CA
Mailing Address - Zip Code:93901-2947
Mailing Address - Country:US
Mailing Address - Phone:831-776-8942
Mailing Address - Fax:831-800-7253
Practice Address - Street 1:30 E SAN JOAQUIN ST STE 201
Practice Address - Street 2:
Practice Address - City:SALINAS
Practice Address - State:CA
Practice Address - Zip Code:93901-2947
Practice Address - Country:US
Practice Address - Phone:831-776-8942
Practice Address - Fax:831-800-7253
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-01-14
Last Update Date:2025-01-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM0801XAmbulatory Health Care FacilitiesClinic/CenterMental Health (Including Community Mental Health Center)