Active NPI
Shirin Sharifha, PH.D.
- Clinical Psychologist
- Canoga Park, CA
National Provider Identifier
1043397615
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- PSY15996
- Practice address
- 7621 Canoga Ave
Canoga Park, CA 91304-4912 - Phone
- (818) 598-6900
- Fax
- (818) 598-6971
- NPI assigned
- Nov 1, 2006
- Sex
- Female
- Sole proprietor
- No
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 | PSY15996 | CA | Primary |
Addresses
Primary practice location
7621 Canoga Ave
Canoga Park, CA 91304-4912
Mailing address
5320 Newcastle Ave Apt 209
Encino, CA 91316-3017
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PSY15996 | CA | MD | Clinical Psychologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Los Angeles County Department of Mental Health | Current | Accepting new patients | |
| Los Angeles County Department of Mental Health | Current | Accepting new patients | |
| Grow Healthcare Group PC | Clinical | Current | Accepting new patients |
| Shirin Sharifha PHD Clinical Psychologist Inc | Clinical | Current | Accepting new patients |
Locations
510 S Vermont Ave
Fl 19
Los Angeles, CA 90020
Phone (213) 480-3416
10605 Balboa Blvd
Ste 100
San Fernando, CA 91344
Phone (818) 832-2400
99 Almaden Blvd
Ste 600
San Jose, CA 95113
Phone (408) 402-4385
66 W Flagler St
Ste 900
Miami, FL 33130
Phone (786) 244-7711
Organizations & group practices 4
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Los Angeles, CA
- NPI 1083633929
-
- Clinical Psychologist
- Encino, CA
- NPI 1487484168
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Granada Hills, CA
- NPI 1831122241
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1162339200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1043397615",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5320 NEWCASTLE AVE APT 209",
"city": "ENCINO",
"state": "CA",
"postal_code": "913163017"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7621 CANOGA AVE",
"city": "CANOGA PARK",
"state": "CA",
"postal_code": "913044912",
"telephone_number": "818-598-6900",
"fax_number": "818-598-6971"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SHARIFHA",
"first_name": "SHIRIN",
"name_prefix": "Dr.",
"credential": "PH.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-11-01",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "CA",
"license": "PSY15996",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Canoga Park, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.