=====================================================
General NPI Number Information
=====================================================
NPI Number | 1194604215
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | SANDSTONE MENTAL HEALTH LLC
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 09/02/2025
-----------------------------------------------------
Last Update Date | 09/02/2025
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 1500 W 3RD AVE STE 200B
-----------------------------------------------------
City | COLUMBUS
-----------------------------------------------------
State | OH
-----------------------------------------------------
Zip | 43212-2843
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 614-494-4010
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 1500 W 3RD AVE STE 200B
-----------------------------------------------------
City | COLUMBUS
-----------------------------------------------------
State | OH
-----------------------------------------------------
Zip | 43212-2843
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 614-494-4010
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | PSYCHIATRIC NURSE PRACTITIONER
-----------------------------------------------------
Name | CLAIRE HERBERT
-----------------------------------------------------
Credential | APRN-CNP, PMHNP
-----------------------------------------------------
Telephone | 614-494-4010
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 261QM0850X
-----------------------------------------------------
Taxonomy Name | Adult Mental Health Clinic/Center
-----------------------------------------------------
License Number |
-----------------------------------------------------
License Number State |
-----------------------------------------------------