Sasha Dyan Guillory, PSYD

Primary specialty

Clinical Child & Adolescent PsychologistTaxonomy code 103TC2200X

License

PSY34644 Issued in CA

Practice address

5625 College Ave Ste 209
Oakland, CA 94618-1599

Phone

(510) 469-8882

NPI assigned

Aug 29, 2012

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1346198400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1699228800000",
    "number": "1386993954",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5625 COLLEGE AVE STE 209",
            "city": "OAKLAND",
            "state": "CA",
            "postal_code": "946181599"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5625 COLLEGE AVE STE 209",
            "city": "OAKLAND",
            "state": "CA",
            "postal_code": "946181599",
            "telephone_number": "510-469-8882"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GUILLORY",
        "first_name": "SASHA",
        "middle_name": "DYAN",
        "name_prefix": "Dr.",
        "credential": "PSYD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-08-29",
        "last_updated": "2023-11-06",
        "certification_date": "2023-11-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC2200X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical Child & Adolescent",
            "state": "CA",
            "license": "PSY34644",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sharon Guillen
• Cedric Gabriel Guillory
• Donna Louise Guillory, MFT
• Lance Alexander Guillory
• Paul Thomas Guillory, PH.D.
• Vanessa Ann Guillory, LMFT
• Rochelle Lifschitz Guinasso, R.D.
• Christie Guinsatao
• Jennifer Guinto
• Manu Gujrati, MD

• Clinical Child & Adolescent Psychologist in Oakland, CA
• Providers in Oakland, CA by specialty
• Clinical Child & Adolescent Psychologist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 6, 2023; 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.