Sierra Psychological Associates, Inc.

Primary specialty

PsychologistTaxonomy code 103T00000X

License

PSY9689 Issued in CA

Legal business name

SIERRA PSYCHOLOGICAL ASSOCIATES, INC.

Practice address

69930 Highway 111 Ste 204a
Rancho Mirage, CA 92270-2853

Phone

(626) 966-5644

Fax

(760) 202-7599

NPI assigned

Mar 6, 2007

Organization subpart

No

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

Authorized official

Name

Phoebe Cervantes, PHDNPI 1285726638

Title

President

Phone

(626) 966-5644

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Phoebe Cervantes, PH.D

  • Counseling Psychologist
  • Covina, CA
  • NPI 1285726638

  CA

  Medicare reassignment Authorized official

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

{
    "created_epoch": "1173139200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1615507200000",
    "number": "1700915410",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "69930 HIGHWAY 111 STE 204A",
            "city": "RANCHO MIRAGE",
            "state": "CA",
            "postal_code": "922702853",
            "telephone_number": "626-966-5644",
            "fax_number": "760-202-7599"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "69930 HIGHWAY 111 STE 204A",
            "city": "RANCHO MIRAGE",
            "state": "CA",
            "postal_code": "922702853",
            "telephone_number": "626-966-5644",
            "fax_number": "760-202-7599"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SIERRA PSYCHOLOGICAL ASSOCIATES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-06",
        "last_updated": "2021-03-12",
        "certification_date": "2021-03-12",
        "status": "A",
        "authorized_official_last_name": "CERVANTES",
        "authorized_official_first_name": "PHOEBE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "626-966-5644",
        "authorized_official_credential": "PHD"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist",
            "state": "CA",
            "license": "PSY9689",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Scott A Shuford, NP
• Jenan Nadim Shukry, MD
• Elizabeth Siacunco, MD
• Nicole Siacunco, DO
• Koushan Siami-Namini, MD
• Sepehr Silani, MD
• Jesus Silva
• Juan Antonio Silva Jr.
• Maira Alejandra Silva, PA-C
• Martin Silva Jr., APCC

• All providers in Rancho Mirage, CA
• Psychologist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 12, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.