Dr. Sasha Mizrahi, LLC

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

0004367 Issued in CO

Legal business name

DR. SASHA MIZRAHI, LLC

Practice address

10200 E Girard Ave
Ste. C246
Denver, CO 80231-5500

Phone

(303) 586-6711

NPI assigned

Apr 27, 2016

Last updated

Apr 27, 2016By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Alexandra Mizrahi, PSYD

Title

Psychologist

Phone

(201) 238-6457

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1461715200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1461715200000",
    "number": "1417302407",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7014 TOWNSEND DR",
            "city": "HIGHLANDS RANCH",
            "state": "CO",
            "postal_code": "801304120",
            "telephone_number": "201-238-6457"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10200 E GIRARD AVE",
            "address_2": "STE. C246",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802315500",
            "telephone_number": "303-586-6711"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR. SASHA MIZRAHI, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-04-27",
        "last_updated": "2016-04-27",
        "status": "A",
        "authorized_official_last_name": "MIZRAHI",
        "authorized_official_first_name": "ALEXANDRA",
        "authorized_official_title_or_position": "PSYCHOLOGIST",
        "authorized_official_telephone_number": "201-238-6457",
        "authorized_official_credential": "PSYD"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "CO",
            "license": "0004367",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Clinical Psychologist in Denver, CO
• Providers in Denver, CO by specialty
• Clinical Psychologist in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 27, 2016; 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.