Active NPI
Sharon Ross
- Marriage & Family Therapist
- Fresno, CA
National Provider Identifier
1467648501
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Marriage & Family Therapist
- License
- 45723
- Practice address
- 3636 N 1St St Ste 158
Fresno, CA 93726-6871 - Phone
- (559) 221-5191
- Fax
- (559) 221-0307
- NPI assigned
- Sep 21, 2007
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Case Manager/Care Coordinator | 171M00000X | CA | ||
| Marriage & Family Therapist | 106H00000X | 45723 | CA | Primary |
Addresses
Primary practice location
3636 N 1St St Ste 158
Fresno, CA 93726-6871
Mailing address
3636 N 1St St Ste 158
Fresno, CA 93726-6871
Phone (559) 221-5191
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 100405 | Other | CA | STAFF ID NUMBER |
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 45723 | CA | MD | Marriage & Family Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1190332800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1441843200000",
"number": "1467648501",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3636 N 1ST ST STE 158",
"city": "FRESNO",
"state": "CA",
"postal_code": "937266871",
"telephone_number": "559-221-5191",
"fax_number": "559-221-0307"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3636 N 1ST ST STE 158",
"city": "FRESNO",
"state": "CA",
"postal_code": "937266871",
"telephone_number": "559-221-5191",
"fax_number": "559-221-0307"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ROSS",
"first_name": "SHARON",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-09-21",
"last_updated": "2015-09-10",
"status": "A"
},
"taxonomies": [
{
"code": "171M00000X",
"taxonomy_group": "",
"desc": "Case Manager/Care Coordinator",
"state": "CA",
"license": null,
"primary": false
},
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "CA",
"license": "45723",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "STAFF ID NUMBER",
"identifier": "100405",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Fresno, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 10, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.