NPIMap

Organization Active NPI

Michelle Shariat-Hansen

  • Psychologist
  • Novato, CA
National Provider Identifier
1265791610
Registry record updated May 4, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
PSY19389 Issued in CA
Legal business name
MICHELLE SHARIAT-HANSEN
Practice address
2 Commercial Blvd
Suite 200
Novato, CA 94949-6123
Phone
(415) 497-7094
Fax
(415) 883-3014
NPI assigned
May 4, 2012
Last updated
May 4, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 4, 2012

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

Authorized official

Name
Dr. Michelle Shariat-Hansen, PSYDNPI 1376601682
Title
Psychologist
Phone
(415) 497-7094

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychologist 103T00000X PSY19389 CA Primary

Addresses

Primary practice location

2 Commercial Blvd
Suite 200
Novato, CA 94949-6123

Mailing address

2 Commercial Blvd
Suite 200
Novato, CA 94949-6123
Phone (415) 497-7094

National Provider Directory

National Provider Directory

Locations

2 Commercial Blvd
Ste 200
Novato, CA 94949
Phone (415) 497-7094

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1336089600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1336089600000",
    "number": "1265791610",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2 COMMERCIAL BLVD",
            "address_2": "SUITE 200",
            "city": "NOVATO",
            "state": "CA",
            "postal_code": "949496123",
            "telephone_number": "415-497-7094",
            "fax_number": "415-883-3014"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2 COMMERCIAL BLVD",
            "address_2": "SUITE 200",
            "city": "NOVATO",
            "state": "CA",
            "postal_code": "949496123",
            "telephone_number": "415-497-7094",
            "fax_number": "415-883-3014"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MICHELLE SHARIAT-HANSEN",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-05-04",
        "last_updated": "2012-05-04",
        "status": "A",
        "authorized_official_last_name": "SHARIAT-HANSEN",
        "authorized_official_first_name": "MICHELLE",
        "authorized_official_title_or_position": "PSYCHOLOGIST",
        "authorized_official_telephone_number": "415-497-7094",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PSYD"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "CA",
            "license": "PSY19389",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Novato, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 4, 2012; 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.