Individual provider Active NPI

Sharon Lentz, M.A., PSY.D.

  • Clinical Psychologist
  • Surprise, AZ
National Provider Identifier
1528186335
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
2044 Issued in AZ
Practice address
15282 W Brookside LN
Suite #110-a
Surprise, AZ 85374-2447
Phone
(623) 889-7458
Fax
(623) 889-0972
NPI assigned
Mar 27, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X 2044 AZ Primary

Addresses

Primary practice location

15282 W Brookside LN
Suite #110-a
Surprise, AZ 85374-2447

Mailing address

8231 N 21St Dr
#E101
Phoenix, AZ 85021-4946
Phone (602) 334-3776

Other names 1

  • Ms. Sharon Von Lentz Former name

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

NPI Registry JSON

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

{
    "created_epoch": "1174953600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1528186335",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8231 N 21ST DR",
            "address_2": "#E101",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850214946",
            "telephone_number": "602-334-3776",
            "fax_number": "623-889-0972"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15282 W BROOKSIDE LN",
            "address_2": "SUITE #110-A",
            "city": "SURPRISE",
            "state": "AZ",
            "postal_code": "853742447",
            "telephone_number": "623-889-7458",
            "fax_number": "623-889-0972"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LENTZ",
        "first_name": "SHARON",
        "name_prefix": "Dr.",
        "credential": "M.A., PSY.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-03-27",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "AZ",
            "license": "2044",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SHARON",
            "last_name": "VON LENTZ",
            "prefix": "MS.",
            "credential": "M.A.,PSY.D.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Surprise, AZ

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.

Verify at the official NPI Registry.