SANDALWOOD MENTAL HEALTH, PLLC
NPI 1710662341
Nurse Practitioner - Psychiatric/Mental Health in Lake Wylie, SC

Active since June 20, 2023
244 LATITUDE LN STE 104, LAKE WYLIE, SC 29710(803) 809-3184(803) 615-4662 Get Directions Write a Review

NPPES record last updated: June 20, 2026. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Feb 19, 2025, Jun 20, 2023 (2 updates tracked since 2023).

About Sandalwood Mental Health, Pllc NPPES

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

SANDALWOOD MENTAL HEALTH, PLLC (NPI 1710662341) is a healthcare organization registered as a psychiatric/mental health in Lake Wylie, South Carolina and active in the NPI registry since June 2023. The organization maintains 4 additional practice locations and lists Peter A. Bertelli, Ceo, as its authorized official.

NPPES Registry Identity

NPI1710662341
Entity TypeOrganization
Primary Taxonomy363LP0808X
Legal Business NameSANDALWOOD MENTAL HEALTH, PLLC
Location Address244 LATITUDE LN STE 104Lake Wylie, SC 29710-8125
Mailing AddressPo Box 1081Clover, SC 29710-4081 · (803) 809-3184 · Fax (803) 615-4662
Fax(803) 615-4662
Organization SubpartNo
Authorized OfficialPeter A. BertelliCeo · (508) 538-3165
Enumeration DateJune 20, 2023
Last NPPES UpdateJune 20, 20262 updates tracked since enumeration
NPPES CertifiedJune 20, 2026
✔ NPI 1710662341 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0808X
244 LATITUDE LN STE 104, Lake Wylie, SC 29710

Secondary Practice Locations 4

Location 1105 Webster St Ste 5Hanover, MA 02339-1227 · Phone (508) 538-3165 · Fax (508) 571-0210
Location 2917 SW Oak St Ste 417Portland, OR 97205-2807 · Phone (503) 743-0512 · Fax (803) 615-4662
Location 38440 Rea Rd Ste MCharlotte, NC 28277-4230 · Phone (803) 809-3184 · Fax (803) 615-4662
Location 41030 N Center Pkwy Ste 112Kennewick, WA 99336-7160 · Phone (803) 809-3184

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Sandalwood Mental Health, Pllc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

3

Medicare enrollment records show 3 clinicians reassign Medicare billing to Sandalwood Mental Health, PLLC, which bills Medicare for the services they deliver. Of these, 1 practice at this address. They are listed nearest first.

Clinicians, nearest first (3)

Nurse Practitioner
NPI 1235766338
244 LATITUDE LN STE 104
Lake Wylie, SC 29710
(803) 809-3184
✔ PECOS✔ Accepts MedicareSame address
Nurse Practitioner
NPI 1427875632
2079 CHARLIE HALL BLVD
Charleston, SC 29414
(843) 974-5622
✔ PECOS170 mi
Nurse Practitioner
NPI 1013787324
55 COUNTY RD STE 2
Mattapoisett, MA 02739
(508) 264-0144
✔ PECOS✔ Accepts Medicare716 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 Sandalwood Mental Health, PLLC's NPI number?

The NPI number for Sandalwood Mental Health, PLLC is 1710662341. It was assigned to this organization in the NPPES registry on June 20, 2023.

Where is Sandalwood Mental Health, PLLC located?

Sandalwood Mental Health, PLLC is located at 244 Latitude Ln Ste 104, Lake Wylie, SC 29710. The listed phone number is (803) 809-3184.

What is Sandalwood Mental Health, PLLC's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

Is Sandalwood Mental Health, PLLC enrolled in Medicare?

Yes. Sandalwood Mental Health, PLLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Sandalwood Mental Health, PLLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 3 clinicians, all in Nurse Practitioner, reassign their Medicare billing to Sandalwood Mental Health, PLLC. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Of these, 1 practice at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does Sandalwood Mental Health, PLLC accept?

Health plans from Anthem Blue Cross and Blue Shield, BlueCross BlueShield of South Carolina, InStil Health and Moda Health Plan, Inc. list Sandalwood Mental Health, PLLC 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 Sandalwood Mental Health, PLLC was last updated on June 20, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 months 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.