Sandra Ahumada, PhD
Psychologist, Clinical Child & Adolescent in Saint Paul, MN. Individual provider (NPI-1).
NPI number1619461597
StatusActive
Last updated in NPPESJun 27, 2018
Details
- NPI
- 1619461597
- Entity type
- Individual (NPI-1)
- Name
- Sandra Ahumada
- Credential
- PhD
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Jun 14, 2018
- Last updated
- Jun 27, 2018
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 103TC2200X | Psychologist, Clinical Child & Adolescent | – | – | Yes |
Practice location
360 Sherman St Ste 200Saint Paul, MN 55102
Phone 651-220-6720
Mailing address
360 Sherman St Ste 200Saint Paul, MN 55102-2567
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This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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