Active NPI
Shivika Dharamrup, MA, PSY.D.
- Psychologist
- Martinez, CA
National Provider Identifier
1174661276
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- License
- 26587
- Practice address
- 2500 Alhambra Ave
Crisis & Stabalization Unit/Pes
Martinez, CA 94553-3156 - Phone
- (510) 307-4140
- NPI assigned
- Feb 1, 2007
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychologist | 103T00000X | 26587 | CA | Primary |
Addresses
Primary practice location
2500 Alhambra Ave
Crisis & Stabalization Unit/Pes
Martinez, CA 94553-3156
Mailing address
250 Bon Air Rd
Crisis & Stabalization Unit/Pes
Greenbrae, CA 94904
Phone (415) 499-6666
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
- Master of Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 26587 | CA | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1170288000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1408060800000",
"number": "1174661276",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "250 BON AIR RD",
"address_2": "CRISIS & STABALIZATION UNIT/PES",
"city": "GREENBRAE",
"state": "CA",
"postal_code": "94904",
"telephone_number": "415-499-6666"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2500 ALHAMBRA AVE",
"address_2": "CRISIS & STABALIZATION UNIT/PES",
"city": "MARTINEZ",
"state": "CA",
"postal_code": "945533156",
"telephone_number": "510-307-4140"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DHARAMRUP",
"first_name": "SHIVIKA",
"name_prefix": "Dr.",
"credential": "MA, PSY.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-02-01",
"last_updated": "2014-08-15",
"status": "A"
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "CA",
"license": "26587",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Martinez, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 15, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.