Individual provider Active NPI

Dale Sanford Sherman, PH.D.

  • Clinical Neuropsychologist
  • Los Angeles, CA
National Provider Identifier
1700987930
Registry record updated Jun 12, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical NeuropsychologistTaxonomy code 103G00000X
License
PSY16377 Issued in CA
Practice address
640 S San Vicente Blvd Ste 256
Los Angeles, CA 90048-4884
Phone
(323) 839-7231
NPI assigned
Sep 26, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 12, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X PSY16377 CA
Clinical Neuropsychologist 103G00000X PSY16377 CA Primary

Addresses

Primary practice location

640 S San Vicente Blvd Ste 256
Los Angeles, CA 90048-4884

Mailing address

640 S San Vicente Blvd Ste 256
Los Angeles, CA 90048-4884
Phone (323) 839-7231

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
I20041005000285 CA Practitioner - Clinical Psychologist 5092774232 Reassigns benefits to 2 organizations
Practice locations: Los Angeles, CA

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 1996
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Cedars-Sinai Medical CenterGroup PAC ID 0446169114, 788 clinicians

Practice addresses (Care Compare)

444 S San Vicente Blvd
Los Angeles, CA 90048-4165
Phone (310) 423-5000

Merit-based Incentive Payment System (MIPS)

Final score
93.23 of 100Reported as group
Quality
77.83
Promoting interoperability
98
Improvement activities
40
Cost
71.17

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
PSY16377CAMDClinical Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
County of Los Angeles CurrentSince Oct 16, 2011 Accepting new patients
Cedars-Sinai Medical Center CurrentSince Dec 1, 2006 Accepting new patients
County of Los Angeles CurrentSince Oct 16, 2011 Accepting new patients
Cedars-Sinai Medical Center CurrentSince Dec 1, 2006 Accepting new patients
Persona Neuro Behavior Group Inc. Clinical Neuropsychologist PastSince Aug 15, 2017 Accepting new patients

Locations

1000 S Fremont Ave
Unit 9
Alhambra, CA 91803

444 S San Vicente Blvd
Los Angeles, CA 90048
Phone (213) 637-3700

2070 Century Park E
Los Angeles, CA 90067
Phone (310) 772-4100

444 S San Vicente Blvd
Ste 103
Los Angeles, CA 90048
Phone (310) 423-9722

8635 W 3rd St
Ste 465W
Los Angeles, CA 90048
Phone (310) 423-0674

1000 W Carson St
Torrance, CA 90502
Phone (310) 222-3501

8700 Beverly Blvd
West Hollywood, CA 90048
Phone (310) 385-3291

Interoperability endpoints

  • Direct secure messaging: dsherman98446@direct.cshs.org

Organizations & group practices 5

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": "1159228800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1591920000000",
    "number": "1700987930",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "640 S SAN VICENTE BLVD STE 256",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900484884",
            "telephone_number": "323-839-7231",
            "fax_number": "866-889-9292"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "640 S SAN VICENTE BLVD STE 256",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900484884",
            "telephone_number": "323-839-7231"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHERMAN",
        "first_name": "DALE",
        "middle_name": "SANFORD",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-09-26",
        "last_updated": "2020-06-12",
        "certification_date": "2020-06-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "CA",
            "license": "PSY16377",
            "primary": false
        },
        {
            "code": "103G00000X",
            "taxonomy_group": "",
            "desc": "Clinical Neuropsychologist",
            "state": "CA",
            "license": "PSY16377",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Los Angeles, CA

Sources for this page

Verify at the official NPI Registry.