Active NPI
Cherish Deoliveira, PSY.D.
- Clinical Psychologist
- Chandler, AZ
National Provider Identifier
1083084222
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- PSY-005118
- Practice address
- 1600 W Chandler Blvd Ste 110
Chandler, AZ 85224-6100 - Phone
- (480) 524-0990
- Fax
- (702) 977-7488
- NPI assigned
- Sep 30, 2015
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | 10862 | MA | |
| Clinical Psychologist | 103TC0700X | PSY-005118 | AZ | Primary |
Addresses
Primary practice location
1600 W Chandler Blvd Ste 110
Chandler, AZ 85224-6100
Mailing address
1600 W Chandler Blvd Ste 110
Chandler, AZ 85224-6100
Phone (480) 524-0990
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 10862 | MA | MD | Massage Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Psychology Specialists LTD | Clinical | 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 and National Provider Directory roles.
-
dba LifeStance Health
- Clinical Psychologist
- Bloomington, IL
- NPI 1053368605
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1443571200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1638835200000",
"number": "1083084222",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1600 W CHANDLER BLVD STE 110",
"city": "CHANDLER",
"state": "AZ",
"postal_code": "852246100",
"telephone_number": "480-524-0990",
"fax_number": "702-977-7488"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1600 W CHANDLER BLVD STE 110",
"city": "CHANDLER",
"state": "AZ",
"postal_code": "852246100",
"telephone_number": "480-524-0990",
"fax_number": "702-977-7488"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DEOLIVEIRA",
"first_name": "CHERISH",
"name_prefix": "Dr.",
"credential": "PSY.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2015-09-30",
"last_updated": "2021-12-07",
"certification_date": "2021-12-07",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "MA",
"license": "10862",
"primary": false
},
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "AZ",
"license": "PSY-005118",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Chandler, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 7, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.