Individual provider Active NPI

Shirin Sharifha, PH.D.

  • Clinical Psychologist
  • Canoga Park, CA
National Provider Identifier
1043397615
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
PSY15996 Issued in CA
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

Updated by the provider on Jul 8, 2007

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050729000751 CA Practitioner - Clinical Psychologist 8729016894 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
PSY15996CAMDClinical Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Los Angeles County Department of Mental Health CurrentSince May 19, 2023 Accepting new patients
Los Angeles County Department of Mental Health Current Accepting new patients
Grow Healthcare Group PC Clinical CurrentSince Jun 1, 2024 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.

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

Verify at the official NPI Registry.