Sherry G Casper, PSY D /PHD

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

PSY20550 Issued in CA

Practice address

9606 Tierra Grande #201
Suite 107
San Diego, CA 92126

Phone

(619) 485-5961

Fax

(877) 485-5961

NPI assigned

Nov 9, 2009

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

State licenses

Practice roles

Locations

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.

• Center for Reflective Practice

  • Group Psychotherapy Psychologist
  • San Diego, CA
  • NPI 1720616600
  NPD Authorized official
• Center for Thoughtful Lasting Change Inc

  • Clinical Psychologist
  • San Diego, CA
  • NPI 1548597438
  NPD Authorized official

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

{
    "created_epoch": "1257724800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1574812800000",
    "number": "1255668455",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 421146",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "92142",
            "telephone_number": "619-807-7410",
            "fax_number": "877-485-5961"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9606 TIERRA GRANDE #201",
            "address_2": "SUITE 107",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "92126",
            "telephone_number": "619-485-5961",
            "fax_number": "877-485-5961"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CASPER",
        "first_name": "SHERRY",
        "middle_name": "G",
        "name_prefix": "Dr.",
        "credential": "PSY D /PHD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-11-09",
        "last_updated": "2019-11-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "CA",
            "license": "PSY20550",
            "primary": false
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "CA",
            "license": "PSY20550",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Giovanna Casola, M.D.
• Aimee Michelle Cason, NP
• Juyi Choi Casper, PHARM.D
• Leslie Moberg Casper, MD
• Rashaun Deone Casper, LPT
• Meghan Elizabeth Cass, PT, DPT
• Robert William Cass, RN
• Lucinda Cassady, PH.D
• Shalla Cassam
• D. Douglas Cassat, DDS

• Clinical Psychologist in San Diego, CA
• Providers in San Diego, CA by specialty
• Clinical Psychologist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 27, 2019; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.