SANDRA JENSEN (NPI# 1003975467) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1003975467 |
| Entity Type | Individual |
| Full Name | SANDRA JENSEN |
| Credential | PHD |
| Practice Address |
4851 Cliff Dr Rapid City SD 57702 |
| Mailing Address |
4851 Cliff Dr Rapid City SD 57702-6817 |
| Practice Telephone | 8503397660 |
| Mailing Telephone | 8503397660 |
| Enumeration Date | 2006-12-08 |
| Last Update Date | 2019-07-04 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103TC0700X |
Psychologist Specialization: Clinical |
559 | SD | Behavioral Health & Social Service Providers |
| N | 103TC0700X |
Psychologist Specialization: Clinical |
WY530 | WY | Behavioral Health & Social Service Providers |
| N | 103TC0700X |
Psychologist Specialization: Clinical |
PY6897 | FL | Behavioral Health & Social Service Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 1218 Cosgriff Ct, Suite 201, Cheyenne, WY 820012410 | 8503397660 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265600217 | Sandra Kay Jensen | Occupational Therapist | 11038 N Pinto Dr, Fountain Hills, AZ 85268-5329 | 2008-02-12 |
| 1003037862 | Sandra Raymond Jensen | Marriage & Family Therapist | 373 North 780 East, Lindon, UT 84042 | 2007-05-01 |
| 1417174780 | Sandra Jensen | Psychologist | 5820 Main St Ste 505a, Williamsville, NY 14221-5734 | 2007-04-19 |
| 1790811859 | Sandra Jean Jensen | Registered Nurse | 18495 Gate Post Rd, Brookfield, WI 53045-6608 | 2007-02-25 |
| 1154360220 | Sandra Lee Jensen | Chiropractor | 13714 Gamma Rd, Suite 125, Dallas, TX 75244-4485 | 2006-06-05 |
| 1710962675 | Sandra G Jensen | Nurse Practitioner | 15675 Northline Rd, Southgate, MI 48195-2334 | 2005-12-13 |
| Street Address |
4851 CLIFF DR |
| City | RAPID CITY |
| State | SD |
| Zip Code | 57702 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366049660 | Byrne Dental, Professional LLC | Dentist | 3825 Canyon Lake Dr, Rapid City, SD 57702 | 2020-10-08 |
| 1427603026 | Mikaela Licht | Technician | 4310 Cedar Ridge Pl. Apt #5, Rapid City, SD 57702 | 2019-08-09 |
| 1932761335 | Great Plains Tribal Chairmen's Health Board | Pharmacy | Oyate Health Center, 3200 Canyon Lake Drive, Rapid City, SD 57702 | 2019-07-05 |
| 1598231334 | Regional Health Physicians, Inc. | Clinic/Center | 1635 Caregiver Circle, Rapid City, SD 57702 | 2018-10-19 |
| 1851813224 | Angie Deneire | Licensed Practical Nurse | 7312 Pinon Jay Circle, Rapid City, SD 57702 | 2017-07-07 |
| 1073063830 | Kirsten William-kennedy Dds, Ms, P.C. | Dentist | 740 Sheridan Lk. Rd. Suite A, Rapid City, SD 57702 | 2016-10-05 |
| 1932558939 | Emily T Rausch | Physical Therapist | 2040 West Main, #212, Rapid City, SD 57702 | 2016-06-09 |
| 1033597810 | John Dennis Burke | Speech-Language Pathologist | 4635 Wentworth Drive, Rapid City, SD 57702 | 2015-05-12 |
| 1013394535 | Dakota Regional Periodontics | Dentist | 2800 Jackson Blvd #6, Rapid City, SD 57702 | 2015-05-05 |
| 1306272414 | Lindsy Jo Wathen | Speech-Language Pathologist | 13232 Klondike Road, Rapid City, SD 57702 | 2013-09-20 |
| Find all providers in zip 57702 | ||||
| Taxonomy Code | 103TC0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Clinical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730412867 | Darlene Marie Wilcox | Psychologist | 1723 Brentwood St, Rapid City, SD 57701-0724 | 2009-09-08 |
| 1477700086 | Carver Grupp Psychological Services Inc. | Psychologist | 1818 W Fulton St Ste 201, Rapid City, SD 57702-4347 | 2008-08-26 |
| 1184704470 | Frederick J Magnavito Jr. | Psychologist | 300 Kansas City St, Rapid City, SD 57701-2884 | 2006-10-17 |
| 1861584385 | James Carl Gardiner | Psychologist | 1480 Edinborough Dr, Rapid City, SD 57702-8721 | 2006-09-29 |
| 1972532026 | Leslie Alan Fiferman | Psychologist | 1501 E Centre St, Rapid City, SD 57703-3003 | 2006-07-01 |
| 1578087078 | Behavior Care Specialists, Inc | Psychologist | 3820 Jackson Blvd Ste 2, Rapid City, SD 57702-3249 | 2017-07-27 |
| 1427469519 | Chantal Marie Peterson | Psychologist | 902 Columbus Street, Rapid City, SD 57701 | 2014-05-12 |
| 1831524370 | Stuart Krause Phd Clinical Psychology, LLC | Psychologist | 550 N 5th St, Ste 3210, Rapid City, SD 57701-1375 | 2013-09-03 |
| 1740624550 | Marvin Bouska, M.s., L.L.C. | Psychologist | 1818 W Fulton St, Rapid City, SD 57702-4377 | 2013-04-23 |
| 1780950956 | Jennifer J. Kozel, Phd, Lcp, Inc. | Psychologist | 1818 W Fulton St, Ste. 201, Rapid City, SD 57702-4377 | 2012-03-31 |
| Find all providers in RAPID CITY | ||||
| City | RAPID CITY |
| Zip Code | 57702 |
Please comment or provide details below to improve the information on SANDRA JENSEN.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.