Active NPI
Mary Harb Sheets, PH.D.
- Psychologist
- San Diego, CA
National Provider Identifier
1255427845
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- License
- PSY13803
- Practice address
- 9330 Carmel Mountain Rd
Suite a
San Diego, CA 92129-2157 - Phone
- (858) 484-8332
- NPI assigned
- Oct 4, 2006
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychologist | 103T00000X | PSY13803 | CA | Primary |
Addresses
Primary practice location
9330 Carmel Mountain Rd
Suite a
San Diego, CA 92129-2157
Mailing address
12803 Pimpernel Way
San Diego, CA 92129-3603
Phone (858) 484-8332
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
- Opted out of Medicare
- Yes, effective Jul 1, 2014 through Jul 1, 2028
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PSY13803 | CA | MD | Psychologist |
| 13803 | CA | MD | Occupational Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1159920000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1365984000000",
"number": "1255427845",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "12803 PIMPERNEL WAY",
"city": "SAN DIEGO",
"state": "CA",
"postal_code": "921293603",
"telephone_number": "858-484-8332"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9330 CARMEL MOUNTAIN RD",
"address_2": "SUITE A",
"city": "SAN DIEGO",
"state": "CA",
"postal_code": "921292157",
"telephone_number": "858-484-8332"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SHEETS",
"first_name": "MARY",
"middle_name": "HARB",
"name_prefix": "Dr.",
"credential": "PH.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-10-04",
"last_updated": "2013-04-15",
"status": "A"
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "CA",
"license": "PSY13803",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in San Diego, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 15, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.