Aleksey Sharipov, PSYD

Primary specialty

PsychologistTaxonomy code 103T00000X

License

PSY29881 Issued in CA

Practice address

5709 Marconi Ave Ste E
Carmichael, CA 95608-4585

Phone

(916) 606-3355

NPI assigned

Apr 24, 2018

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

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

Specialty

Clinical Psychologist

Education

Other, 2008

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1524528000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1538006400000",
    "number": "1669960720",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6930 FAIR OAKS BLVD APT 195",
            "city": "CARMICHAEL",
            "state": "CA",
            "postal_code": "956083381",
            "telephone_number": "916-606-3355"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5709 MARCONI AVE STE E",
            "city": "CARMICHAEL",
            "state": "CA",
            "postal_code": "956084585",
            "telephone_number": "916-606-3355"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2655 Portage Bay E Ste 8",
            "address_purpose": "LOCATION",
            "city": "Davis",
            "state": "CA",
            "postal_code": "956163073",
            "country_code": "US",
            "telephone_number": "916-606-3355",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SHARIPOV",
        "first_name": "ALEKSEY",
        "name_prefix": "Dr.",
        "credential": "PSYD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2018-04-24",
        "last_updated": "2018-09-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "CA",
            "license": "PSY29881",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mohamed Shamel
• Shantal Shamoiel
• Maryanne K. Shannon, N.P.
• Amy Melissa Shapiro, RN, FNP
• Mohammed O Shareef, MD
• Ronald Demetruis Shead
• Timothy Sheehy
• Tiffany Sheffield, M.S. CCC-SLP
• Laverne Jeanene Shell, MFT
• Sheng Ji DDS MD Inc

• Psychologist in Carmichael, CA
• Providers in Carmichael, CA by specialty
• Psychologist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 27, 2018; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.