Irene B Sardanis, PHD

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

PSY9151 Issued in CA

Practice address

2607 Alcatraz Avenue
Suite #7
Berkeley, CA 94705

Phone

(510) 444-2315

NPI assigned

Dec 21, 2006

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Philosophy

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1166659200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1215091335",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12 DOWNEY PLACE",
            "city": "OAKLAND",
            "state": "CA",
            "postal_code": "946101809",
            "telephone_number": "510-444-2315"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2607 ALCATRAZ AVENUE",
            "address_2": "SUITE #7",
            "city": "BERKELEY",
            "state": "CA",
            "postal_code": "94705",
            "telephone_number": "510-444-2315"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SARDANIS",
        "first_name": "IRENE",
        "middle_name": "B",
        "name_prefix": "Dr.",
        "credential": "PHD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-12-21",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "CA",
            "license": "PSY9151",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Alejo Santa Cruz, M.D.
• Maria Santiago
• Santosha Center
• Brittany Jean Santucci, MAT ATC
• Gardenia Sarazin, MFT
• Jeanette Dora Sarmiento, LCSW
• Nadereh Sarnevesht, P.A.
• Maimouna Sarr
• Nour Sarsangi, OD
• Cinnamon Sartin-Zavala

• Clinical Psychologist in Berkeley, CA
• Providers in Berkeley, CA by specialty
• Clinical Psychologist in California

• 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.

Verify at the official NPI Registry.