Active NPI
Terrill Sharon Levinson Wickham, PH.D.
- Psychologist
- Redlands, CA
National Provider Identifier
1255473211
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- License
- PSY8407
- Practice address
- 1210 Nevada St
Suite101
Redlands, CA 92374-2895 - Phone
- (909) 793-8312
- Fax
- (909) 792-6507
- NPI assigned
- Feb 13, 2007
- 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 6
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Adult Development & Aging Psychologist | 103TA0700X | PSY8407 | CA | |
| Cognitive & Behavioral Psychologist | 103TB0200X | PSY8407 | CA | |
| Clinical Psychologist | 103TC0700X | PSY8407 | CA | |
| Clinical Child & Adolescent Psychologist | 103TC2200X | PSY8407 | CA | |
| Intellectual & Developmental Disabilities Psychologist | 103TM1800X | PSY8407 | CA | |
| Psychologist | 103T00000X | PSY8407 | CA | Primary |
Addresses
Primary practice location
1210 Nevada St
Suite101
Redlands, CA 92374-2895
Mailing address
1210 Nevada St
Suite101
Redlands, CA 92374-2895
Phone (909) 793-8312
Other names 1
- Terrill Sharon Levinson
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
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PSY8407 | CA | MD | Adult Development & Aging Psychologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Redlands Psychological, Inc. | Clinical | Past | Accepting new patients |
| Stephen M Pumphrey Licensed Clinical Social Workers Inc | 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.
-
- Clinical Psychologist
- Redlands, CA
- NPI 1770625212
-
- Clinical Social Worker
- Laguna Hills, CA
- NPI 1386862969
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1171324800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1757548800000",
"number": "1255473211",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1210 NEVADA ST",
"address_2": "SUITE101",
"city": "REDLANDS",
"state": "CA",
"postal_code": "923742895",
"telephone_number": "909-793-8312",
"fax_number": "909-792-6507"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1210 NEVADA ST",
"address_2": "SUITE101",
"city": "REDLANDS",
"state": "CA",
"postal_code": "923742895",
"telephone_number": "909-793-8312",
"fax_number": "909-792-6507"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LEVINSON WICKHAM",
"first_name": "TERRILL",
"middle_name": "SHARON",
"name_prefix": "Dr.",
"credential": "PH.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-02-13",
"last_updated": "2025-09-11",
"status": "A"
},
"taxonomies": [
{
"code": "103TA0700X",
"taxonomy_group": "",
"desc": "Psychologist, Adult Development & Aging",
"state": "CA",
"license": "PSY8407",
"primary": false
},
{
"code": "103TB0200X",
"taxonomy_group": "",
"desc": "Psychologist, Cognitive & Behavioral",
"state": "CA",
"license": "PSY8407",
"primary": false
},
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "CA",
"license": "PSY8407",
"primary": false
},
{
"code": "103TC2200X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical Child & Adolescent",
"state": "CA",
"license": "PSY8407",
"primary": false
},
{
"code": "103TM1800X",
"taxonomy_group": "",
"desc": "Psychologist, Intellectual & Developmental Disabilities",
"state": "CA",
"license": "PSY8407",
"primary": false
},
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "CA",
"license": "PSY8407",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "TERRILL",
"last_name": "LEVINSON",
"middle_name": "SHARON",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Redlands, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.