Active NPI
Sharon Sima Menora
- Clinical Psychologist
- Boston, MA
National Provider Identifier
1275105538
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- 11405
- Practice address
- 53 State St
Boston, MA 02109-2820 - Phone
- (516) 606-4846
- NPI assigned
- Jul 15, 2021
- 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 |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | 11405 | MA | Primary |
Addresses
Primary practice location
53 State St
Boston, MA 02109-2820
Mailing address
975 Kingstown Rd
Wakefield, RI 02879-3042
Phone (516) 606-4846
Other practice location 1
Shimon 39
Beit Shemesh, Israel 99543
IL
Phone (052) 834-2390
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 11405 | MA | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1626307200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1633564800000",
"number": "1275105538",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "975 KINGSTOWN RD",
"city": "WAKEFIELD",
"state": "RI",
"postal_code": "028793042",
"telephone_number": "516-606-4846"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "53 STATE ST",
"city": "BOSTON",
"state": "MA",
"postal_code": "021092820",
"telephone_number": "516-606-4846"
}
],
"practiceLocations": [
{
"address_1": "Shimon 39",
"address_purpose": "LOCATION",
"city": "Beit Shemesh",
"state": "Israel",
"postal_code": "99543",
"country_code": "IL",
"telephone_number": "052-834-2390",
"country_name": "Israel",
"address_type": "FGN"
}
],
"basic": {
"last_name": "MENORA",
"first_name": "SHARON",
"middle_name": "SIMA",
"name_prefix": "Dr.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2021-07-15",
"last_updated": "2021-10-07",
"certification_date": "2021-09-09",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "MA",
"license": "11405",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Boston, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 7, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.