Individual provider Active NPI

Sara Bivans, PHD, MA, LAADC

  • Addiction (Substance Use Disorder) Psychologist
  • Tarzana, CA
National Provider Identifier
1508289174
Registry record updated Mar 12, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Addiction (Substance Use Disorder) PsychologistTaxonomy code 103TA0400X
License
LR0240315 Issued in CA
Practice address
19562 Ventura Blvd Ste 233
Tarzana, CA 91356-6059
Phone
(310) 810-8216
NPI assigned
Feb 1, 2014
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 12, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Psychologist 103TA0400X LR0240315 CA Primary

Addresses

Primary practice location

19562 Ventura Blvd Ste 233
Tarzana, CA 91356-6059

Mailing address

19562 Ventura Blvd Ste 233
Tarzana, CA 91356-6059
Phone (310) 810-8216

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
Master of Arts, Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
LR0240315CAMDAddiction (Substance Use Disorder) Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
La Community Counseling Current Accepting new patients
Sober Stages Inc. Outpatient Program CurrentSince Feb 11, 2024 Accepting new patients

Locations

19562 Ventura Blvd
Ste 233
Tarzana, CA 91356
Phone (310) 810-8216

Organizations & group practices 2

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": "1391212800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1773273600000",
    "number": "1508289174",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19562 VENTURA BLVD STE 233",
            "city": "TARZANA",
            "state": "CA",
            "postal_code": "913566059",
            "telephone_number": "310-810-8216"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19562 VENTURA BLVD STE 233",
            "city": "TARZANA",
            "state": "CA",
            "postal_code": "913566059",
            "telephone_number": "310-810-8216"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BIVANS",
        "first_name": "SARA",
        "name_prefix": "Dr.",
        "credential": "PHD, MA, LAADC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-02-01",
        "last_updated": "2026-03-12",
        "certification_date": "2026-03-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TA0400X",
            "taxonomy_group": "",
            "desc": "Psychologist, Addiction (Substance Use Disorder)",
            "state": "CA",
            "license": "LR0240315",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tarzana, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 12, 2026; 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.