Organization Active NPI

Sharon Gerstenzang

  • Clinical Psychologist
  • Fountain Valley, CA
National Provider Identifier
1245528447
Registry record updated Oct 14, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
Legal business name
SHARON GERSTENZANG
Practice address
10101 Slater Ave Ste 205
Fountain Valley, CA 92708-4741
Phone
(714) 964-3126
Fax
(714) 964-5784
NPI assigned
Jul 21, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 14, 2011

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

Authorized official

Name
Dr. Sharon Margot-Dregne Gerstenzang, PHD
Title
Psychologist, Founder
Phone
(714) 964-3126

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical PsychologistGroup: 193400000X SINGLE SPECIALTY GROUP 103TC0700X Primary

Addresses

Primary practice location

10101 Slater Ave Ste 205
Fountain Valley, CA 92708-4741

Mailing address

10101 Slater Ave Ste 205
Fountain Valley, CA 92708-4741
Phone (714) 964-3126

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1311206400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1318550400000",
    "number": "1245528447",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10101 SLATER AVE STE 205",
            "city": "FOUNTAIN VALLEY",
            "state": "CA",
            "postal_code": "927084741",
            "telephone_number": "714-964-3126",
            "fax_number": "714-964-5784"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10101 SLATER AVE STE 205",
            "city": "FOUNTAIN VALLEY",
            "state": "CA",
            "postal_code": "927084741",
            "telephone_number": "714-964-3126",
            "fax_number": "714-964-5784"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHARON GERSTENZANG",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-07-21",
        "last_updated": "2011-10-14",
        "status": "A",
        "authorized_official_last_name": "GERSTENZANG",
        "authorized_official_first_name": "SHARON",
        "authorized_official_middle_name": "MARGOT-DREGNE",
        "authorized_official_title_or_position": "PSYCHOLOGIST, FOUNDER",
        "authorized_official_telephone_number": "714-964-3126",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHD"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fountain Valley, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 14, 2011; 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.