Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Dr. Luis Roberto Sandoval

Individual provider Psychologist · NPI 1164004743

Dr. Luis Roberto Sandoval is a Psychologist in Brookline, Massachusetts. Practices as a sole proprietor. Licensed in Massachusetts.

Licensed in
MA
In the registry since
2021

Practice location Address checks out

1101 Beacon St Ste 5
Brookline, MA 02446-5587
Phone: (617) 516-4076
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Psychologist (primary) Taxonomy 103T00000X · Licence 11486 (MA)

Record details

NPI number1164004743
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedApril 23, 2021
Last updated in NPPESApril 23, 2021
Certification dateApril 23, 2021
Mailing address1101 Beacon St Ste 5, Brookline, MA 02446-5587

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