Individual provider Active NPI

Judith Ann Sharp, LICENSED MARRIAGE AN

  • Marriage & Family Therapist
  • Sherman Oaks, CA
National Provider Identifier
1275868200
Registry record updated Oct 8, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
MFC#45498 Issued in CA
Practice address
4419 Van Nuys Blvd.
Suite 406
Sherman Oaks, CA 91403-3822
Phone
(818) 754-2600
Fax
(818) 907-1831
NPI assigned
Oct 8, 2009
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 8, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family Therapist 106H00000X MFC#45498 CA Primary

Addresses

Primary practice location

4419 Van Nuys Blvd.
Suite 406
Sherman Oaks, CA 91403-3822

Mailing address

4419 Van Nuys Blvd.
Suite 406
Sherman Oaks, CA 91403-3822
Phone (818) 754-2600

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

LicenseStateTypeSpecialty
MFC#45498CAMDMarriage & Family Therapist

NPI Registry JSON

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

{
    "created_epoch": "1254960000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1254960000000",
    "number": "1275868200",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4419 VAN NUYS BLVD.",
            "address_2": "SUITE 406",
            "city": "SHERMAN OAKS",
            "state": "CA",
            "postal_code": "914033822",
            "telephone_number": "818-754-2600",
            "fax_number": "818-907-1831"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4419 VAN NUYS BLVD.",
            "address_2": "SUITE 406",
            "city": "SHERMAN OAKS",
            "state": "CA",
            "postal_code": "914033822",
            "telephone_number": "818-754-2600",
            "fax_number": "818-907-1831"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHARP",
        "first_name": "JUDITH",
        "middle_name": "ANN",
        "name_prefix": "Ms.",
        "credential": "LICENSED MARRIAGE AN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-10-08",
        "last_updated": "2009-10-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "MFC#45498",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sherman Oaks, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 8, 2009; 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.