Ryan Sharma

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

PSY22160 Issued in CA

Practice address

1280 S Victoria Ave
Ste 230
Ventura, CA 93003-6555

Phone

(805) 618-1602

NPI assigned

Oct 24, 2011

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

State licenses

Practice roles

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.

• Fathom Psychology, PC

  • Clinical Psychologist
  • Ventura, CA
  • NPI 1558069864
  NPD

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

{
    "created_epoch": "1319414400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1319414400000",
    "number": "1598041451",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1280 S VICTORIA AVE",
            "address_2": "STE 230",
            "city": "VENTURA",
            "state": "CA",
            "postal_code": "930036555",
            "telephone_number": "805-618-1602"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1280 S VICTORIA AVE",
            "address_2": "STE 230",
            "city": "VENTURA",
            "state": "CA",
            "postal_code": "930036555",
            "telephone_number": "805-618-1602"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHARMA",
        "first_name": "RYAN",
        "name_prefix": "Dr.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2011-10-24",
        "last_updated": "2011-10-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "CA",
            "license": "PSY22160",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Hana Kobayashi Shapiro, MD
• Nathan J Shapiro, DMD
• Manju Sharma-Beatty, MD
• Kathryn Jones Sharma, MD
• Naveen Sharma, MD
• Susan Sharma, PSYD
• Molly Sharp, RBT
• Skylar Sharpe, RBT
• Danielle Shaw, MD
• Stephen R. Shaw, M.D.

• Clinical Psychologist in Ventura, CA
• Providers in Ventura, CA by specialty
• Clinical Psychologist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 24, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.