Active NPI
Alan Sugarman, PH.D.
- Psychoanalysis Psychologist
- La Jolla, CA
National Provider Identifier
1457562068
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychoanalysis Psychologist
- License
- PSY7313
- Practice address
- 4180 La Jolla Village Dr
Suite 550B
La Jolla, CA 92037-1402 - Phone
- (858) 453-5562
- NPI assigned
- May 25, 2007
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychoanalysis Psychologist | 103TP0814X | PSY7313 | CA | Primary |
Addresses
Primary practice location
4180 La Jolla Village Dr
Suite 550B
La Jolla, CA 92037-1402
Mailing address
744 Munevar Rd
Cardiff, CA 92007-1331
Phone (760) 944-0727
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
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PSY7313 | CA | MD | Psychoanalysis Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1180051200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1457562068",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "744 MUNEVAR RD",
"city": "CARDIFF",
"state": "CA",
"postal_code": "920071331",
"telephone_number": "760-944-0727"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4180 LA JOLLA VILLAGE DR",
"address_2": "SUITE 550B",
"city": "LA JOLLA",
"state": "CA",
"postal_code": "920371402",
"telephone_number": "858-453-5562"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SUGARMAN",
"first_name": "ALAN",
"name_prefix": "Dr.",
"credential": "PH.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-05-25",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "103TP0814X",
"taxonomy_group": "",
"desc": "Psychologist, Psychoanalysis",
"state": "CA",
"license": "PSY7313",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in La Jolla, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.