Individual provider Active NPI

Sharon Anderson Rippner, PH.D.

  • Clinical Psychologist
  • San Luis Obispo, CA
National Provider Identifier
1386978047
Registry record updated Sep 29, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
PSY6297 Issued in CA
Practice address
1521 Higuera St
Suite E
San Luis Obispo, CA 93401-2958
Phone
(805) 748-2844
Fax
(805) 595-9629
NPI assigned
Sep 29, 2009
Last updated
Sep 29, 2009By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 29, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X PSY6297 CA Primary

Addresses

Primary practice location

1521 Higuera St
Suite E
San Luis Obispo, CA 93401-2958

Mailing address

PO Box 246
Avila Beach, CA 93424-0246
Phone (805) 748-2844

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)
Enrolled
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
PSY6297CAMDClinical Psychologist

NPI Registry JSON

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

{
    "created_epoch": "1254182400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1254182400000",
    "number": "1386978047",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 246",
            "city": "AVILA BEACH",
            "state": "CA",
            "postal_code": "934240246",
            "telephone_number": "805-748-2844",
            "fax_number": "805-595-9629"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1521 HIGUERA ST",
            "address_2": "SUITE E",
            "city": "SAN LUIS OBISPO",
            "state": "CA",
            "postal_code": "934012958",
            "telephone_number": "805-748-2844",
            "fax_number": "805-595-9629"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RIPPNER",
        "first_name": "SHARON",
        "middle_name": "ANDERSON",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-09-29",
        "last_updated": "2009-09-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "CA",
            "license": "PSY6297",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Luis Obispo, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 29, 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.