Sane Space PLLC
NPI 1164118642 · Psychologist · Parkersburg, WV
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Sane Space PLLC is a Psychologist organization in Parkersburg, WV (NPI 1164118642).
Provider details
- NPI number
- 1164118642
- Entity type
- Organization
- Primary specialty
- PsychologistBehavioral Health & Social Service Providers
- Organization subpart
- No
- Authorized official
- Christina Jackson, Owner(304) 220-0041
Specialties & taxonomies
Behavioral Health & Social Service Providers
- Counselor101Y00000X
Behavioral Health & Social Service Providers
- Professional Counselor101YP2500X
Behavioral Health & Social Service Providers
- Counseling Psychologist103TC1900X
Behavioral Health & Social Service Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
3 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Other names (DBA / former)
- Doing business as
- Sane Space
- Doing business as
- Sane Space
- Former legal business name
- Sane Space LLC
Registry dates
- Enumerated
- 2023-04-17
- Last updated
- 2025-01-08
- Certified
- 2024-12-17
Frequently asked questions
- What is Sane Space PLLC's NPI number?
- Sane Space PLLC's National Provider Identifier (NPI) is 1164118642, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Sane Space PLLC?
- Sane Space PLLC is classified in the NPPES registry as Psychologist (Behavioral Health & Social Service Providers).
- Where is Sane Space PLLC located?
- Sane Space PLLC's practice location on file with NPPES is 4421 Emerson Ave Ste 204, Parkersburg, WV 26104-1200.
- What is Sane Space PLLC's phone number?
- The practice phone number listed in the NPPES registry for Sane Space PLLC is (304) 220-0441.
- Does Sane Space PLLC accept Medicare?
- Sane Space PLLC is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Sane Space PLLC?
- The authorized official listed on Sane Space PLLC's NPPES record is Christina Jackson, Owner. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Sane Space PLLC's NPI active?
- Yes — Sane Space PLLC's NPI (1164118642) is active in the NPPES registry as of the last update on 2025-01-08.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.