DR. SHELLEY LYNN SANDBULTE EDD
NPI 1871587253
Psychologist in Sioux Falls, SD

Active since August 31, 2005PECOS EnrolledAccepts Medicare Assignment
2210 S BROWN PL, SIOUX FALLS, SD 57105(605) 332-1700(605) 336-9031 Get Directions Write a Review

NPPES record last updated: March 5, 2012. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Shelley Lynn Sandbulte Edd NPPES

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

DR. SHELLEY LYNN SANDBULTE EDD (NPI 1871587253) is an individual psychologist in Sioux Falls, South Dakota, licensed in South Dakota (311) and active in the NPI registry since August 2005. She is enrolled in Medicare PECOS and is a graduate of Other (1989).

NPPES Registry Identity

NPI1871587253
Entity TypeIndividualFemale
Primary Taxonomy103T00000X
Provider Legal NameDR. SHELLEY LYNN SANDBULTECredential: EDD
Location Address2210 S BROWN PLSioux Falls, SD 57105-6582
Mailing Address2210 S Brown PlSioux Falls, SD 57105-6582 · (605) 332-1700 · Fax (605) 336-9031
Fax(605) 336-9031
Sole ProprietorNo
Medical School CMSOtherGraduated 1989
Enumeration DateAugust 31, 2005
Last NPPES UpdateMarch 5, 2012
NPI 1871587253 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 SD · 311
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.
2210 S BROWN PL, Sioux Falls, SD 57105

Other Names 1

Former Name (1)Dr. Shelley L Pederson Ed.d.

Other Identifiers 2

Medicare PIN101000SD
Medicaid6550683SD

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 and accepts Medicare assignment

Dr. Shelley Lynn Sandbulte Edd is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID749299105
PECOS Enrollment IDI20060412000388
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.

Areas of Expertise CMS Part B claims 2

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Psychotherapy, 1 hour 90837
Psychotherapy is a therapeutic interaction or treatment between a trained professional and a patient. In a 1-hour session, you'll talk about your feelings, thoughts, and behaviors to help identify and manage mental health issues. This process aids in personal growth, healing, and improved well-being.
273 services23 patients
Psychotherapy, 45 minutes 90834
Psychotherapy is a treatment method where you converse with a therapist about your thoughts, feelings, and behaviors. In a 45-minute session, the therapist assists you in understanding and managing your mental health concerns, improving emotional wellness, and promoting personal growth.
109 services21 patients

Other Providers at the Same Location NPPES 15

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

Counselor (Mental Health)
2210 S BROWN PL
SIOUX FALLS, SD 57105
Counselor (Mental Health)
2210 S BROWN PL
SIOUX FALLS, SD 57105
Counselor (Mental Health)
2210 S BROWN PL
SIOUX FALLS, SD 57105
Counselor (Professional)
2210 S BROWN PL
SIOUX FALLS, SD 57105
Social Worker (Clinical)
2210 S BROWN PL
SIOUX FALLS, SD 57105
Counselor (Mental Health)
2210 S BROWN PL
SIOUX FALLS, SD 57105
Counselor (Addiction (Substance Use Disorder))
2210 S BROWN PL
SIOUX FALLS, SD 57105
Clinic/Center (Adult Mental Health)
2210 S BROWN PL
SIOUX FALLS, SD 57105

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 Shelley Sandbulte's NPI number?

The NPI number for Shelley Sandbulte is 1871587253. It was assigned to this individual provider in the NPPES registry on August 31, 2005. The provider is also known as Dr. Shelley L Pederson Ed.D..

Where is Shelley Sandbulte located?

Shelley Sandbulte practices at 2210 S Brown Pl, Sioux Falls, SD 57105. The listed phone number is (605) 332-1700.

What is Shelley Sandbulte's specialty?

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

Is Shelley Sandbulte enrolled in Medicare?

Yes. Shelley Sandbulte is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Shelley Sandbulte accept?

Health plans from Avera Health Plans and Sanford Health Plan list Shelley Sandbulte 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 Shelley Sandbulte was last updated on March 5, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.