Active NPI
Sheela Puri, PSYD
- Psychologist
- Gilroy, CA
National Provider Identifier
1174740021
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- License
- 32157
- Practice address
- 8355 Church St
Gilroy, CA 95020-4406 - Phone
- (408) 359-6700
- NPI assigned
- Apr 20, 2007
- Sex
- Female
- 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 | 32157 | CA | Primary |
Addresses
Primary practice location
8355 Church St
Gilroy, CA 95020-4406
Mailing address
6114 La Salle Ave # 268
Oakland, CA 94611-2802
Phone (650) 532-3280
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 32157 | CA | MD | Dentist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1177027200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1623456000000",
"number": "1174740021",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6114 LA SALLE AVE # 268",
"city": "OAKLAND",
"state": "CA",
"postal_code": "946112802",
"telephone_number": "650-532-3280"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8355 CHURCH ST",
"city": "GILROY",
"state": "CA",
"postal_code": "950204406",
"telephone_number": "408-359-6700"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PURI",
"first_name": "SHEELA",
"name_prefix": "Dr.",
"credential": "PSYD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-04-20",
"last_updated": "2021-06-12",
"certification_date": "2021-06-12",
"status": "A"
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "CA",
"license": "32157",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Gilroy, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 12, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.