Active NPI
Sharon Salfas, PHD
- Clinical Psychologist
- La, CA
National Provider Identifier
1467568121
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- PSY 13859
- Practice address
- 11911 San Vicente Blvd
Ste 240
La, CA 90049 - Phone
- (310) 415-1539
- Fax
- (310) 398-2603
- NPI assigned
- Aug 22, 2006
- Last updated
- Aug 24, 2010
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | PSY 13859 | CA | Primary |
Addresses
Primary practice location
11911 San Vicente Blvd
Ste 240
La, CA 90049
Mailing address
3242 Barry Ave
Los Angeles, CA 90066
Phone (310) 415-1539
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
| License | State | Type | Specialty |
|---|---|---|---|
| PSY 13859 | CA | MD | Clinical Psychologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mitch Golant, PHD, Clinical Psychologist, a Professional Corporation | Clinical | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Clinical Psychologist
- Los Angeles, CA
- NPI 1376082180
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1156204800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1282608000000",
"number": "1467568121",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3242 BARRY AVE",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "90066",
"telephone_number": "310-415-1539",
"fax_number": "310-398-2603"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11911 SAN VICENTE BLVD",
"address_2": "STE 240",
"city": "LA",
"state": "CA",
"postal_code": "90049",
"telephone_number": "310-415-1539",
"fax_number": "310-398-2603"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SALFAS",
"first_name": "SHARON",
"name_prefix": "Dr.",
"credential": "PHD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-08-22",
"last_updated": "2010-08-24",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "CA",
"license": "PSY 13859",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in La, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 24, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.