Individual provider Active NPI

Sandra M Firth, PHD

  • Clinical Psychologist
  • Palm Desert, CA
National Provider Identifier
1487862470
Registry record updated Apr 14, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
PSY 18839 Issued in CA
Practice address
44530 San Pablo Ave Ste 201
Palm Desert, CA 92260-3598
Phone
(760) 341-8878
Fax
(760) 341-8820
NPI assigned
May 21, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 14, 2020

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X PSYC-PY.60012141 WA
Psychologist 103T00000X
Clinical Psychologist 103TC0700X PSY202350 ID
Clinical Psychologist 103TC0700X PSY 18839 CA Primary

Addresses

Primary practice location

44530 San Pablo Ave Ste 201
Palm Desert, CA 92260-3598

Mailing address

68665 Calle Mancha
Cathedral City, CA 92234-7150
Phone (208) 591-0211

Other practice location 1

72980 Fred Waring Dr Ste C
Palm Desert, CA 92260-2898
Phone (619) 404-2335

Other names 1

  • Dr. Sandra M Firth Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA, ID2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20040401000504 CA Practitioner - Clinical Psychologist 0244222057 Reassigns benefits to 1 organization
I20080422000534 ID Practitioner - Clinical Psychologist 0244222057 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 1998
Medicare assignment
May accept Medicare assignment
Group practices
Richard I Torban a Professional CorporationGroup PAC ID 8426945544, 3 clinicians

Practice addresses (Care Compare)

73255 El Paseo
Suite 11
Palm Desert, CA 92260-4249
Phone (760) 341-8878

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
PSY 18839CAMDClinical Psychologist
PSY202350IDMDClinical Psychologist
PSYC-PY.60012141WAMDClinical Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Deer Oaks Mental Health Associates PC Clinical CurrentSince Jul 27, 2018 Accepting new patients
Shashita Inamdar MD Professional Corporation CurrentSince Mar 1, 2020 Accepting new patients
Richard I Torban a Professional Corporation CurrentSince Mar 5, 2020 Accepting new patients
Usc Care Medical Group, Inc PastSince Apr 19, 2020 Accepting new patients

Locations

73255 El Paseo
Ste 11
Palm Desert, CA 92260
Phone (760) 341-8878

44530 San Pablo Ave
Ste 201
Palm Desert, CA 92260
Phone (760) 341-8878

72980 Fred Waring Dr
Ste C
Palm Desert, CA 92260
Phone (844) 467-3867

4510 Executive Dr
Ste 115
San Diego, CA 92121
Phone (858) 427-5060

32605 Temecula Pkwy
Ste 202
Temecula, CA 92592
Phone (844) 467-3867

808 N Curtis Rd
Boise, ID 83706
Phone (208) 376-5273

2609 Sunnybrook Dr
Nampa, ID 83686
Phone (208) 467-7298

7272 Wurzbach Rd
Ste 601
San Antonio, TX 78240
Phone (210) 615-3472

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1179705600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1586822400000",
    "number": "1487862470",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "68665 CALLE MANCHA",
            "city": "CATHEDRAL CITY",
            "state": "CA",
            "postal_code": "922347150",
            "telephone_number": "208-591-0211"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "44530 SAN PABLO AVE STE 201",
            "city": "PALM DESERT",
            "state": "CA",
            "postal_code": "922603598",
            "telephone_number": "760-341-8878",
            "fax_number": "760-341-8820"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "72980 Fred Waring Dr Ste C",
            "address_purpose": "LOCATION",
            "city": "Palm Desert",
            "state": "CA",
            "postal_code": "922602898",
            "country_code": "US",
            "telephone_number": "619-404-2335",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FIRTH",
        "first_name": "SANDRA",
        "middle_name": "M",
        "name_prefix": "Dr.",
        "credential": "PHD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-05-21",
        "last_updated": "2020-04-14",
        "certification_date": "2020-04-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "WA",
            "license": "PSYC-PY.60012141",
            "primary": false
        },
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "ID",
            "license": "PSY202350",
            "primary": false
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "CA",
            "license": "PSY 18839",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SANDRA",
            "last_name": "FIRTH",
            "middle_name": "M",
            "prefix": "DR.",
            "credential": "PHD",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Palm Desert, CA

Sources for this page

Verify at the official NPI Registry.