Active NPI
Joanne Barron, PSYD
- Clinical Psychologist
- Sherman Oaks, CA
National Provider Identifier
1649758988
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- PSY25733
- Practice address
- 4419 Van Nuys Blvd Ste 206
Sherman Oaks, CA 91403-5713 - Phone
- (818) 990-3973
- NPI assigned
- Jul 30, 2018
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychologist | 103T00000X | PSY25733 | CA | |
| Counseling Psychologist | 103TC1900X | PSY25733 | CA | |
| Clinical Psychologist | 103TC0700X | PSY25733 | CA | Primary |
Addresses
Primary practice location
4419 Van Nuys Blvd Ste 206
Sherman Oaks, CA 91403-5713
Mailing address
4419 Van Nuys Blvd Ste 206
Sherman Oaks, CA 91403-5713
Phone (818) 990-3973
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Opted out of Medicare
- Yes, effective Oct 1, 2016 through Oct 1, 2026
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PSY25733 | CA | MD | Clinical Psychologist |
| 25733 | CA | MD | Occupational Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1532908800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1532908800000",
"number": "1649758988",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4419 VAN NUYS BLVD STE 206",
"city": "SHERMAN OAKS",
"state": "CA",
"postal_code": "914035713",
"telephone_number": "818-990-3973"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4419 VAN NUYS BLVD STE 206",
"city": "SHERMAN OAKS",
"state": "CA",
"postal_code": "914035713",
"telephone_number": "818-990-3973"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BARRON",
"first_name": "JOANNE",
"name_prefix": "Dr.",
"credential": "PSYD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2018-07-30",
"last_updated": "2018-07-30",
"status": "A"
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "CA",
"license": "PSY25733",
"primary": false
},
{
"code": "103TC1900X",
"taxonomy_group": "",
"desc": "Psychologist, Counseling",
"state": "CA",
"license": "PSY25733",
"primary": false
},
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "CA",
"license": "PSY25733",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Sherman Oaks, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 30, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.