Active NPI
Sharon Ann Flynn, PH.D.
- Clinical Psychologist
- Santa Monica, CA
National Provider Identifier
1154543882
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- PSY17768
- Practice address
- 3130 Wilshire Blvd
Suite 550
Santa Monica, CA 90403-2346 - Phone
- (310) 403-7106
- NPI assigned
- May 3, 2007
- Sex
- Female
- Sole proprietor
- Yes
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 | PSY17768 | CA | Primary |
| Clinical Psychologist | 103TC0700X | 6886 | MA |
Addresses
Primary practice location
3130 Wilshire Blvd
Suite 550
Santa Monica, CA 90403-2346
Mailing address
12322 Dorothy St
Los Angeles, CA 90049-5204
Phone (310) 826-2367
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)
- Not enrolled
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PSY17768 | CA | MD | Clinical Psychologist |
| 6886 | MA | MD | Speech-Language Pathologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1178150400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1154543882",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "12322 DOROTHY ST",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900495204",
"telephone_number": "310-826-2367"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3130 WILSHIRE BLVD",
"address_2": "SUITE 550",
"city": "SANTA MONICA",
"state": "CA",
"postal_code": "904032346",
"telephone_number": "310-403-7106"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FLYNN",
"first_name": "SHARON",
"middle_name": "ANN",
"credential": "PH.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-05-03",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "CA",
"license": "PSY17768",
"primary": true
},
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "MA",
"license": "6886",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Santa Monica, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.