Active NPI
Sharon S Bokarius-Snow, PSY.D.
- Clinical Psychologist
- Richmond, CA
National Provider Identifier
1194087247
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- PSY 22492
- Practice address
- 3260 Blume Dr Ste 450
Richmond, CA 94806-5115 - Phone
- (510) 323-2524
- NPI assigned
- Jun 14, 2012
- 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 | PSY 22492 | CA | Primary |
| Group Psychotherapy Psychologist | 103TP2701X | PSY 22492 |
Addresses
Primary practice location
3260 Blume Dr Ste 450
Richmond, CA 94806-5115
Mailing address
100 S Ellsworth Ave Ste 511
San Mateo, CA 94401-3929
Phone (510) 323-2524
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PSY 22492 | CA | MD | Clinical Psychologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Center for Occupational Health | Group Psychotherapy | Past | Accepting new patients |
| Comprehensive Care Consultants | Past | Accepting new patients |
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Psychiatry Physician
- Richmond, CA
- NPI 1891095063
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1339632000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1442361600000",
"number": "1194087247",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "100 S ELLSWORTH AVE STE 511",
"city": "SAN MATEO",
"state": "CA",
"postal_code": "944013929",
"telephone_number": "510-323-2524"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3260 BLUME DR STE 450",
"city": "RICHMOND",
"state": "CA",
"postal_code": "948065115",
"telephone_number": "510-323-2524"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BOKARIUS-SNOW",
"first_name": "SHARON",
"middle_name": "S",
"name_prefix": "Dr.",
"credential": "PSY.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2012-06-14",
"last_updated": "2015-09-16",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "CA",
"license": "PSY 22492",
"primary": true
},
{
"code": "103TP2701X",
"taxonomy_group": "",
"desc": "Psychologist, Group Psychotherapy",
"state": null,
"license": "PSY 22492",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Richmond, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 16, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.