Organization Active NPI

Pomeranz Psychology, Inc.

  • Psychologist
  • Menlo Park, CA
National Provider Identifier
1104304096
Registry record updated Aug 1, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
28681 Issued in CA
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

Updated by the provider on Aug 1, 2018

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)CodeLicenseStatePrimary
PsychologistGroup: 193400000X SINGLE SPECIALTY GROUP 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 Directory

Locations

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.

Verify at the official NPI Registry.