Individual provider Active NPI

Sharone S Lich, PH.D.

  • Psychologist
  • Beverly Hills, CA
National Provider Identifier
1538354899
Registry record updated Jan 7, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
PSY10656 Issued in CA
Practice address
441 S Beverly Dr
Suite 2
Beverly Hills, CA 90212-4427
Phone
(310) 277-0822
Fax
(310) 358-9927
NPI assigned
Sep 10, 2007
Last updated
Jan 7, 2008By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 7, 2008

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

Specialties & licenses 7

Specialty (taxonomy)CodeLicenseStatePrimary
Psychologist 103T00000X PSY10656 CA Primary
Adult Development & Aging Psychologist 103TA0700X PSY10656 CA
Cognitive & Behavioral Psychologist 103TB0200X PSY10656 CA
Clinical Psychologist 103TC0700X PSY10656 CA
Counseling Psychologist 103TC1900X PSY10656 CA
Family Psychologist 103TF0000X PSY10656 CA
Group Psychotherapy Psychologist 103TP2701X PSY10656 CA

Addresses

Primary practice location

441 S Beverly Dr
Suite 2
Beverly Hills, CA 90212-4427

Mailing address

441 S Beverly Dr
Suite 2
Beverly Hills, CA 90212-4427
Phone (310) 277-0822

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
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 1

Enrollment IDStateProvider typePAC IDDetails
I20120608000065 CA Practitioner - Clinical Psychologist 8224292990 Practice locations: Beverly Hills, CA

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 1985
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

441 S Beverly Dr
Suite 2
Beverly Hills, CA 90212-4427
Phone (310) 277-0822

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
10656CAMDAddiction (Substance Use Disorder) Counselor
PSY10656CAMDFamily Psychologist

NPI Registry JSON

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

{
    "created_epoch": "1189382400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1199664000000",
    "number": "1538354899",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "441 S BEVERLY DR",
            "address_2": "SUITE 2",
            "city": "BEVERLY HILLS",
            "state": "CA",
            "postal_code": "902124427",
            "telephone_number": "310-277-0822",
            "fax_number": "310-358-9927"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "441 S BEVERLY DR",
            "address_2": "SUITE 2",
            "city": "BEVERLY HILLS",
            "state": "CA",
            "postal_code": "902124427",
            "telephone_number": "310-277-0822",
            "fax_number": "310-358-9927"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LICH",
        "first_name": "SHARONE",
        "middle_name": "S",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-09-10",
        "last_updated": "2008-01-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "CA",
            "license": "PSY10656",
            "primary": true
        },
        {
            "code": "103TA0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Adult Development & Aging",
            "state": "CA",
            "license": "PSY10656",
            "primary": false
        },
        {
            "code": "103TB0200X",
            "taxonomy_group": "",
            "desc": "Psychologist, Cognitive & Behavioral",
            "state": "CA",
            "license": "PSY10656",
            "primary": false
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "CA",
            "license": "PSY10656",
            "primary": false
        },
        {
            "code": "103TC1900X",
            "taxonomy_group": "",
            "desc": "Psychologist, Counseling",
            "state": "CA",
            "license": "PSY10656",
            "primary": false
        },
        {
            "code": "103TF0000X",
            "taxonomy_group": "",
            "desc": "Psychologist, Family",
            "state": "CA",
            "license": "PSY10656",
            "primary": false
        },
        {
            "code": "103TP2701X",
            "taxonomy_group": "",
            "desc": "Psychologist, Group Psychotherapy",
            "state": "CA",
            "license": "PSY10656",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Beverly Hills, CA

Sources for this page

Verify at the official NPI Registry.