Active NPI
Cheryl Jan Uberman, RN,MSN,CNS,APRN-BC,
- Psychiatric/Mental Health Nurse Practitioner
- Point Richmond, CA
National Provider Identifier
1053594200
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatric/Mental Health Nurse Practitioner
- License
- NP 17421
- Practice address
- 1301 Quarry CT Apt 208
Point Richmond, CA 94801-4154 - Phone
- (510) 235-2069
- Fax
- (415) 289-1130
- NPI assigned
- Dec 11, 2007
- Last updated
- Apr 19, 2011
- 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 |
|---|---|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | NP 17421 | CA | Primary |
Addresses
Primary practice location
1301 Quarry CT Apt 208
Point Richmond, CA 94801-4154
Mailing address
1301 Quarry CT Apt 208
Point Richmond, CA 94801-4154
Phone (510) 235-2069
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)
- Enrolled
- Credentials
- Certified Nurse Specialist, Master of Science - Nursing, Nurse Practitioner, Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| NP 17421 | CA | MD | Psychiatric/Mental Health Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Contra Costa County | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1197331200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1303171200000",
"number": "1053594200",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1301 QUARRY CT APT 208",
"city": "POINT RICHMOND",
"state": "CA",
"postal_code": "948014154",
"telephone_number": "510-235-2069",
"fax_number": "415-289-1130"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1301 QUARRY CT APT 208",
"city": "POINT RICHMOND",
"state": "CA",
"postal_code": "948014154",
"telephone_number": "510-235-2069",
"fax_number": "415-289-1130"
}
],
"practiceLocations": [],
"basic": {
"last_name": "UBERMAN",
"first_name": "CHERYL",
"middle_name": "JAN",
"name_prefix": "Ms.",
"credential": "RN,MSN,CNS,APRN-BC,",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-12-11",
"last_updated": "2011-04-19",
"status": "A"
},
"taxonomies": [
{
"code": "363LP0808X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Psychiatric/Mental Health",
"state": "CA",
"license": "NP 17421",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Point Richmond, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 19, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.