DR. LUIS ROBERTO SANDOVAL
NPI 1164004743
Psychologist in Brookline, MA

Active since April 23, 2021PECOS Enrolled
1101 BEACON ST STE 5, BROOKLINE, MA 02446(617) 516-4076 Get Directions Write a Review

NPPES record last updated: April 23, 2021. Verified against the NPPES registry weekly; last sync: August 23, 2026.

About Dr. Luis Roberto Sandoval NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. LUIS ROBERTO SANDOVAL (NPI 1164004743) is an individual psychologist in Brookline, Massachusetts, licensed in Massachusetts (11486) and active in the NPI registry since April 2021. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1164004743
Entity TypeIndividualMale
Primary Taxonomy103T00000X
Provider Legal NameDR. LUIS ROBERTO SANDOVAL
Location Address1101 BEACON ST STE 5Brookline, MA 02446-5587
Mailing Address1101 Beacon St Ste 5Brookline, MA 02446-5587
Sole ProprietorYes
Enumeration DateApril 23, 2021
NPPES CertifiedApril 23, 2021
NPI 1164004743 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPsychologistBehavioral Health & Social Service Providers
Taxonomy Code103T00000X
License Licensed in MA · 11486
Definition
A psychologist is an individual who is licensed to practice psychology which is defined as the observation, description, evaluation, interpretation, and modification of human behavior by the application of psychological principles, methods, and procedures, for the purpose of preventing or eliminating symptomatic, maladaptive, or undesired behavior and of enhancing interpersonal relationships, work and life adjustment, personal effectiveness, behavioral health, and mental health. The practice of psychology includes, but is not limited to, psychological testing and the evaluation or assessment of personal characteristics, such as intelligence, personality, abilities, interests, aptitudes, and neuropsychological functioning; counseling, psychoanalysis, psychotherapy, hypnosis, biofeedback, and behavior analysis and therapy; diagnosis and treatment of mental and emotional disorder or disability, alcoholism and substance abuse, disorders of habit or conduct, as well as of the psychological aspects of physical illness, accident, injury, or disability; and psycheducational evaluation, therapy, remediation, and consultation. Psychological services may be rendered to individuals, families, groups and the public.
1101 BEACON ST STE 5, Brookline, MA 02446

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Dr. Luis Roberto Sandoval is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Luis Sandoval's NPI number?

The NPI number for Luis Sandoval is 1164004743. It was assigned to this individual provider in the NPPES registry on April 23, 2021.

Where is Luis Sandoval located?

Luis Sandoval practices at 1101 Beacon St Ste 5, Brookline, MA 02446. The listed phone number is (617) 516-4076.

What is Luis Sandoval's specialty?

The primary specialty registered for this NPI is Psychologist with taxonomy code 103T00000X.

Is Luis Sandoval enrolled in Medicare?

Yes. Luis Sandoval is registered in the Medicare PECOS enrollment system.

What insurance does Luis Sandoval accept?

Health plans from Anthem Blue Cross and Blue Shield list Luis Sandoval as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Luis Sandoval was last updated on April 23, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.