Organization Active NPI

Shermeil K Dass M D a Professional

  • Child & Adolescent Psychiatry Physician
  • Santa Cruz, CA
National Provider Identifier
1104205483
Registry record updated Aug 23, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Child & Adolescent Psychiatry PhysicianTaxonomy code 2084P0804X
Legal business name
SHERMEIL K DASS M D A PROFESSIONAL
Practice address
655 Capitola Rd Ste 200
Santa Cruz, CA 95062-2769
Phone
(831) 421-2723
Fax
(831) 477-9908
NPI assigned
May 20, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 23, 2017

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

Authorized official

Name
Dr. Shermeil Kaur Dass, M.D.
Title
Owner
Phone
(831) 421-2723

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Child & Adolescent Psychiatry PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2084P0804X Primary

Addresses

Primary practice location

655 Capitola Rd Ste 200
Santa Cruz, CA 95062-2769

Mailing address

655 Capitola Road
Suite 200
Santa Cruz, CO 95062-2747
Phone (831) 421-2723

National Provider Directory

National Provider Directory

Locations

655 Capitola Rd
Ste 200
Santa Cruz, CA 95062
Phone (831) 421-2723

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1432080000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1503446400000",
    "number": "1104205483",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "655 CAPITOLA ROAD",
            "address_2": "SUITE 200",
            "city": "SANTA CRUZ",
            "state": "CO",
            "postal_code": "950622747",
            "telephone_number": "831-421-2723",
            "fax_number": "831-477-9908"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "655 CAPITOLA RD STE 200",
            "city": "SANTA CRUZ",
            "state": "CA",
            "postal_code": "950622769",
            "telephone_number": "831-421-2723",
            "fax_number": "831-477-9908"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHERMEIL K DASS M D A PROFESSIONAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-05-20",
        "last_updated": "2017-08-23",
        "status": "A",
        "authorized_official_last_name": "DASS",
        "authorized_official_first_name": "SHERMEIL",
        "authorized_official_middle_name": "KAUR",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "831-421-2723",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "2084P0804X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Child & Adolescent Psychiatry",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Santa Cruz, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 23, 2017; 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.