Individual provider Active NPI

Sheralyn Beth Nemerson, MA

  • Marriage & Family Therapist
  • Escondido, CA
National Provider Identifier
1316115512
Registry record updated Feb 11, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
MFT16497 Issued in CA
Practice address
210 S Juniper St
Suite 210
Escondido, CA 92025-4229
Phone
(760) 519-5654
Fax
(760) 432-8347
NPI assigned
Feb 11, 2008
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 11, 2008

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 MFT16497 CA Primary

Addresses

Primary practice location

210 S Juniper St
Suite 210
Escondido, CA 92025-4229

Mailing address

210 S Juniper St
Suite 205
Escondido, CA 92025-4229
Phone (760) 510-5654

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
Credentials
Master of Arts

State licenses

LicenseStateTypeSpecialty
MFT16497CAMDMarriage & Family Therapist

NPI Registry JSON

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

{
    "created_epoch": "1202688000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1202688000000",
    "number": "1316115512",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "210 S JUNIPER ST",
            "address_2": "SUITE 205",
            "city": "ESCONDIDO",
            "state": "CA",
            "postal_code": "920254229",
            "telephone_number": "760-510-5654",
            "fax_number": "760-432-8347"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "210 S JUNIPER ST",
            "address_2": "SUITE 210",
            "city": "ESCONDIDO",
            "state": "CA",
            "postal_code": "920254229",
            "telephone_number": "760-519-5654",
            "fax_number": "760-432-8347"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NEMERSON",
        "first_name": "SHERALYN",
        "middle_name": "BETH",
        "name_prefix": "Ms.",
        "credential": "MA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-02-11",
        "last_updated": "2008-02-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "MFT16497",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Escondido, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 11, 2008; 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.