Individual provider Active NPI

Jana Price-Sharps, EDD

  • Psychologist
  • Fresno, CA
National Provider Identifier
1700024072
Registry record updated Nov 3, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
PSY17911 Issued in CA
Practice address
2743 E. Shaw Ave., Suite 110
Fresno, CA 93710
Phone
(559) 977-1642
Fax
(559) 485-1624
NPI assigned
Jan 25, 2009
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 3, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychologist 103T00000X PSY17911 CA Primary

Addresses

Primary practice location

2743 E. Shaw Ave., Suite 110
Fresno, CA 93710

Mailing address

5730 N. First St., Suite 105-503
Fresno, CA 93710
Phone (559) 977-1564

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
PSY17911CAMDPsychologist

Practice roles

OrganizationSpecialtyStatusNew patients
California Forensic Institute CurrentSince Nov 5, 2023 Accepting new patients
Sierra Education & Research Institute CurrentSince Nov 5, 2023 Accepting new patients

Locations

5730 N 1st St
Ste 105503
Fresno, CA 93710
Phone (559) 909-5527

2743 E Shaw Ave
Ste 106
Fresno, CA 93710
Phone (559) 977-1564

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1232841600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1698969600000",
    "number": "1700024072",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5730 N. FIRST ST., SUITE 105-503",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "93710",
            "telephone_number": "559-977-1564",
            "fax_number": "559-485-1624"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2743 E. SHAW AVE., SUITE 110",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "93710",
            "telephone_number": "559-977-1642",
            "fax_number": "559-485-1624"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PRICE-SHARPS",
        "first_name": "JANA",
        "name_prefix": "Dr.",
        "credential": "EDD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-01-25",
        "last_updated": "2023-11-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "CA",
            "license": "PSY17911",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fresno, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 3, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.