Individual provider Active NPI

Sharon Darlene McCarver, PSY.D.

  • Clinical Psychologist
  • Vallejo, CA
National Provider Identifier
1609044031
Registry record updated Aug 12, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
PSY 20289 Issued in CA
Practice address
181 Copper Way
Vallejo, CA 94589-3811
Phone
(707) 334-1544
NPI assigned
Feb 19, 2008
Last updated
Aug 12, 2020By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 12, 2020

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 PSY 20289 CA Primary

Addresses

Primary practice location

181 Copper Way
Vallejo, CA 94589-3811

Mailing address

101 W American Canyon Rd
Ste 508-291
American Canyon, CA 94503-1162
Phone (707) 334-1544

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
I20211214001582 CA Practitioner - Clinical Psychologist 1052621497 Practice locations: Vallejo, CA

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PSY 20289CAMDClinical Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Solano Psychological Services Clinical CurrentSince Mar 5, 2023 Accepting new patients
Mahaan Rehab. Services Inc PastSince Sep 15, 2019 Accepting new patients
Thomas M. Smith, Psy.D. Clinical Past Accepting new patients

Locations

101 W American Canyon Rd
Ste 508291
American Canyon, CA 94503
Phone (707) 334-1544

Organizations & group practices 3

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

NPI Registry JSON

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

{
    "created_epoch": "1203379200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1597190400000",
    "number": "1609044031",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "101 W AMERICAN CANYON RD",
            "address_2": "STE 508-291",
            "city": "AMERICAN CANYON",
            "state": "CA",
            "postal_code": "945031162",
            "telephone_number": "707-334-1544",
            "fax_number": "707-455-6037"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "181 COPPER WAY",
            "city": "VALLEJO",
            "state": "CA",
            "postal_code": "945893811",
            "telephone_number": "707-334-1544"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCCARVER",
        "first_name": "SHARON",
        "middle_name": "DARLENE",
        "name_prefix": "Dr.",
        "credential": "PSY.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-02-19",
        "last_updated": "2020-08-12",
        "certification_date": "2020-08-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "CA",
            "license": "PSY 20289",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Vallejo, CA

Sources for this page

Verify at the official NPI Registry.