Sandra De Silva, M.A., PH.D.

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

PSY20930 Issued in CA

Practice address

1460 7TH St Ste 303
Santa Monica, CA 90401-2632

Phone

(310) 916-6549

NPI assigned

May 30, 2018

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Sandra Porter Other name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Arts, Doctor of Philosophy

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1527638400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1527638400000",
    "number": "1093207631",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1460 7TH ST STE 303",
            "city": "SANTA MONICA",
            "state": "CA",
            "postal_code": "904012632"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1460 7TH ST STE 303",
            "city": "SANTA MONICA",
            "state": "CA",
            "postal_code": "904012632",
            "telephone_number": "310-916-6549"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DE SILVA",
        "first_name": "SANDRA",
        "credential": "M.A., PH.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-05-30",
        "last_updated": "2018-05-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "CA",
            "license": "PSY20930",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SANDRA",
            "last_name": "PORTER",
            "credential": "M.A., PH.D.",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Amanda Noel De la Cerda, MD
• Angelica De la Fuente, M.S.
• Shantel Kimberly De Leon, LVN
• Theresa De Long, MFT
• Edison Victor De Mello, MD PHD
• Stella Nikki De Stefanis, L.AC
• Monya De, MD, MPH
• Teresa Dean, M.D.
• Deanro a Professional Medical Corporation
• Alyson Kay Dearborn, M.A., LMFT

• Clinical Psychologist in Santa Monica, CA
• Providers in Santa Monica, CA by specialty
• Clinical Psychologist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 30, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.