Active NPI
Sharon M. Gruber, PSY.D.
- Clinical Psychologist
- Mission Viejo, CA
National Provider Identifier
1013100635
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- 19169
- Practice address
- 26431 Crown Valley Pkwy
Suite #100
Mission Viejo, CA 92691-6360 - Phone
- (949) 348-6700
- NPI assigned
- Aug 27, 2007
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | 19169 | CA | Primary |
Addresses
Primary practice location
26431 Crown Valley Pkwy
Suite #100
Mission Viejo, CA 92691-6360
Mailing address
26431 Crown Valley Pkwy
Suite #100
Mission Viejo, CA 92691-6360
Phone (949) 348-6700
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2093 | AZ | MD | Physical Therapist |
| 19169 | CA | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1188172800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1361491200000",
"number": "1013100635",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "26431 CROWN VALLEY PKWY",
"address_2": "SUITE #100",
"city": "MISSION VIEJO",
"state": "CA",
"postal_code": "926916360",
"telephone_number": "949-348-6700"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "26431 CROWN VALLEY PKWY",
"address_2": "SUITE #100",
"city": "MISSION VIEJO",
"state": "CA",
"postal_code": "926916360",
"telephone_number": "949-348-6700"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GRUBER",
"first_name": "SHARON",
"middle_name": "M.",
"name_prefix": "Dr.",
"credential": "PSY.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-08-27",
"last_updated": "2013-02-22",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "CA",
"license": "19169",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Mission Viejo, CA
- Kathryn Green, M.S., OTR/L
- Jody M Greenberg, DPM
- Rochelle Blaire Greene, LCSW
- Gregory J Joy MD a Professional Corporation
- Gregory J Joy MD Acute Care Services Inc
- Jennifer Brooke Grumet, M.D.
- Gubbi T Mruthyunjaya
- Kristin Kay Guenther, LMFT
- Charlotte M Guerrero, M.S., CCC-SLP
- Evan Michael Guerrero, M.D.
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 22, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.