Active NPI
Pomeranz Psychology, Inc.
- Psychologist
- Menlo Park, CA
National Provider Identifier
1104304096
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- License
- 28681
- Legal business name
- POMERANZ PSYCHOLOGY, INC.
- Practice address
- 825 Oak Grove Ave Ste C503
Menlo Park, CA 94025-4427 - Phone
- (310) 405-1540
- NPI assigned
- Aug 1, 2018
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Kelifern Pomeranz, PSY.D.
- Title
- Psychologist
- Phone
- (310) 405-1540
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychologist | 103T00000X | 28681 | CA | Primary |
Addresses
Primary practice location
825 Oak Grove Ave Ste C503
Menlo Park, CA 94025-4427
Mailing address
825 Oak Grove Ave Ste C503
Menlo Park, CA 94025-4427
Phone (310) 405-1540
National Provider Directory
National Provider DirectoryLocations
825 Oak Grove Ave
Ste C503
Menlo Park, CA 94025
Phone (310) 405-1540
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1533081600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1533081600000",
"number": "1104304096",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "825 OAK GROVE AVE STE C503",
"city": "MENLO PARK",
"state": "CA",
"postal_code": "940254427",
"telephone_number": "310-405-1540"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "825 OAK GROVE AVE STE C503",
"city": "MENLO PARK",
"state": "CA",
"postal_code": "940254427",
"telephone_number": "310-405-1540"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "POMERANZ PSYCHOLOGY, INC.",
"organizational_subpart": "NO",
"enumeration_date": "2018-08-01",
"last_updated": "2018-08-01",
"status": "A",
"authorized_official_last_name": "POMERANZ",
"authorized_official_first_name": "KELIFERN",
"authorized_official_title_or_position": "PSYCHOLOGIST",
"authorized_official_telephone_number": "310-405-1540",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "PSY.D."
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Psychologist",
"state": "CA",
"license": "28681",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Menlo Park, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 1, 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.