Shari Reville PH.D Inc

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

Legal business name

SHARI REVILLE PH.D INC

Practice address

42525 Rancho Mirage LN
Rancho Mirage, CA 92270-4312

Phone

(760) 403-0573

Fax

(760) 318-2030

NPI assigned

Aug 27, 2019

Organization subpart

No

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

Authorized official

Name

Shari Reville, PHD

Title

Clinical Psychologist

Phone

(760) 403-0573

Specialties & licenses 1

Addresses

Other names 1

• Shari ReVille, Ph.D Former legal business name

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

{
    "created_epoch": "1566864000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1566864000000",
    "number": "1295383099",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1671",
            "city": "RANCHO MIRAGE",
            "state": "CA",
            "postal_code": "922701057",
            "telephone_number": "760-403-0573",
            "fax_number": "760-318-2030"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "42525 RANCHO MIRAGE LN",
            "city": "RANCHO MIRAGE",
            "state": "CA",
            "postal_code": "922704312",
            "telephone_number": "760-403-0573",
            "fax_number": "760-318-2030"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHARI REVILLE PH.D INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-08-27",
        "last_updated": "2019-08-27",
        "status": "A",
        "authorized_official_last_name": "REVILLE",
        "authorized_official_first_name": "SHARI",
        "authorized_official_title_or_position": "CLINICAL PSYCHOLOGIST",
        "authorized_official_telephone_number": "760-403-0573",
        "authorized_official_credential": "PHD"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Shari ReVille, Ph.D",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

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• Clinical Psychologist in Rancho Mirage, CA
• Providers in Rancho Mirage, CA by specialty
• Clinical Psychologist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 27, 2019; 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.