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MRS. TINA LOUISE SANDOVAL-DYER MFT
NPI 1225346398
Marriage & Family Therapist in Santa Rosa, CA

Active since September 22, 2010Opted out of Medicare · through Jun 25, 2028
1144 SONOMA AVE, SUITE 117, SANTA ROSA, CA 95405(707) 526-7720(707) 526-1913 Get Directions Write a Review

NPPES record last updated: September 22, 2010. Verified against the NPPES registry weekly; last sync: September 27, 2026.

About Mrs. Tina Louise Sandoval-dyer Mft NPPES

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

MRS. TINA LOUISE SANDOVAL-DYER MFT (NPI 1225346398) is an individual marriage & family therapist in Santa Rosa, California, licensed in California (47943) and active in the NPI registry since September 2010. She has opted out of Medicare through June 25, 2028 and remains eligible to order and refer.

NPPES Registry Identity

NPI1225346398
Entity TypeIndividualFemale
Primary Taxonomy106H00000X
Provider Legal NameMRS. TINA LOUISE SANDOVAL-DYERCredential: MFT
Location Address1144 SONOMA AVE, SUITE 117Santa Rosa, CA 95405-4812
Mailing Address1144 Sonoma Ave, Suite 117Santa Rosa, CA 95405-4812 · (707) 526-7720 · Fax (707) 526-1913
Phone(707) 526-7720
Fax(707) 526-1913
Sole ProprietorYes
Enumeration DateSeptember 22, 2010
✔ NPI 1225346398 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyMarriage & Family TherapistBehavioral Health & Social Service Providers
Taxonomy Code106H00000X
License✔ Licensed in CA · 47943
Definition
A marriage and family therapist is a person with a master's degree in marriage and family therapy, or a master's or doctoral degree in a related mental health field with substantially equivalent coursework in marriage and family therapy, who receives supervised clinical experience, or a person who meets the state requirements to practice as a marriage and family therapist. A marriage and family therapist treats mental and emotional disorders within the context of marriage and family systems. A marriage and family therapist provides mental health and counseling services to individuals, couples, families, and groups.
1144 SONOMA AVE, Santa Rosa, CA 95405
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

ⓘ

Opted out of Medicare

Mrs. Tina Louise Sandoval-dyer Mft has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from June 25, 2026 through June 25, 2028.

Opt-Out Effective DateJune 25, 2026
Opt-Out In Effect ThroughJune 25, 2028Opt-out affidavits renew automatically every two years unless cancelled
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesAn opted-out provider can still order and refer for Medicare patients in the categories marked above, even though their own services are not covered.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

RAYMOND SEVERT M.D.
Orthopaedic Surgery
1144 SONOMA AVE, SUITE 121
SANTA ROSA, CA 95405
Sonoma County (707) 978-4322
EDWARD A BIERY PHD
Psychologist (Clinical)
1144 SONOMA AVE, STE 104
SANTA ROSA, CA 95405
Sonoma County (707) 595-8680
DR. KEVIN M SATOW M.D.
Physical Medicine & Rehabilitation
1144 SONOMA AVE, SUITE 115
SANTA ROSA, CA 95405
Sonoma County (707) 523-2070
DR. MARY KILLEEN LYONS PHD, MFT
Marriage & Family Therapist
1144 SONOMA AVE, SUITE 117
SANTA ROSA, CA 95405
Sonoma County (707) 526-7720
CATHRYN ROSS MD
Pediatrics
1144 SONOMA AVE, 113
SANTA ROSA, CA 95405
Sonoma County (707) 545-2082
DR. JOE MADDEN PERSINGER PH.D.
Psychologist (Clinical)
1144 SONOMA AVE, STUITE 117
SANTA ROSA, CA 95405
Sonoma County (707) 526-7720
DR. ALIN NICOLAE CHERA DDS
Dentist
1144 SONOMA AVE, SUITE 105
SANTA ROSA, CA 95405
Sonoma County (707) 542-2676
DR JEFF BROFFMAN A MEDICAL CORP
Otolaryngology
1144 SONOMA AVE, #101
SANTA ROSA, CA 95405
Sonoma County (707) 526-7920

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 Tina Sandoval-dyer's NPI number?

The NPI number for Tina Sandoval-dyer is 1225346398. It was assigned to this individual provider in the NPPES registry on September 22, 2010.

Where is Tina Sandoval-dyer located?

Tina Sandoval-dyer practices at 1144 Sonoma Ave Suite 117, Santa Rosa, CA 95405. The listed phone number is (707) 526-7720.

What is Tina Sandoval-dyer's specialty?

The primary specialty registered for this NPI is Marriage & Family Therapist with taxonomy code 106H00000X.

Is Tina Sandoval-dyer enrolled in Medicare?

No. Tina Sandoval-dyer has opted out of Medicare through June 25, 2028. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out. The provider remains eligible to order and refer services for Medicare patients.

When was this NPI record last updated?

The NPPES record for Tina Sandoval-dyer was last updated on September 22, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.