Healthcare Provider Details

I. General information

NPI: 1881520674
Provider Name (Legal Business Name): SANDALWOOD MENTAL HEALTH, PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/20/2026
Last Update Date: 06/22/2026
Certification Date: 06/22/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

11031 SHERIDAN BLVD STE 200
WESTMINSTER CO
80020-3437
US

IV. Provider business mailing address

PO BOX 1081
CLOVER SC
29710-4081
US

V. Phone/Fax

Practice location:
  • Phone: 720-928-9435
  • Fax: 803-615-4662
Mailing address:
  • Phone: 720-928-9435
  • Fax: 803-615-4662

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License Number
License Number State

VIII. Authorized Official

Name: PETER A. BERTELLI
Title or Position: CEO
Credential: APRN, PMHNP-BC
Phone: 803-809-3184