Healthcare Provider Details
I. General information
NPI: 1619894870
Provider Name (Legal Business Name): SANDOZI GROUP, PLLC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 06/30/2026
Last Update Date: 09/11/2026
Certification Date: 09/11/2026
Deactivation Date:
Reactivation Date:
III. Provider practice location address
150 PRESTON EXECUTIVE DR STE 201
CARY NC
27513-8485
US
IV. Provider business mailing address
150 PRESTON EXECUTIVE DR STE 201
CARY NC
27513-8485
US
V. Phone/Fax
- Phone: 919-926-8737
- Fax:
- Phone:
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 103T00000X |
| Taxonomy | Psychologist |
| License Number | |
| License Number State | |
| # 2 | |
| Primary Taxonomy | N |
| Taxonomy Code | 2084P0800X |
| Taxonomy | Psychiatry Physician |
| License Number | |
| License Number State | |
| # 3 | |
| Primary Taxonomy | N |
| Taxonomy Code | 231H00000X |
| Taxonomy | Audiologist |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
NEHAD
K
SANDOZI
Title or Position: CEO & CLINICAL DIRECTOR
Credential: PHD
Phone: 919-926-8737