Individual provider Active NPI

Sharon G Nathan, PH.D.

  • Health Psychologist
  • New York, NY
National Provider Identifier
1720295454
Registry record updated Sep 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Health PsychologistTaxonomy code 103TH0004X
License
PSYCHOLOGY 6053 Issued in NY
Practice address
155 W 70TH St Apt 6H
New York, NY 10023-4421
Phone
(212) 724-6507
Fax
(212) 877-7660
NPI assigned
May 16, 2007
Last updated
Sep 11, 2025By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 11, 2025

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Psychologist 103T00000X 6053 NY
Cognitive & Behavioral Psychologist 103TB0200X PSYCHOLOGIY 6053 NY
Clinical Psychologist 103TC0700X PSYCHOLOGY 6053 NY
Health Psychologist 103TH0004X PSYCHOLOGY 6053 NY Primary

Addresses

Primary practice location

155 W 70TH St Apt 6H
New York, NY 10023-4421

Mailing address

155 W 70TH St Apt 6H
New York, NY 10023-4421
Phone (212) 724-6507

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
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
6053NYMDPsychologist
PSYCHOLOGIY 6053NYMDCognitive & Behavioral Psychologist
PSYCHOLOGY 6053NYMDHealth Psychologist

NPI Registry JSON

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

{
    "created_epoch": "1179273600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1757548800000",
    "number": "1720295454",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "155 W 70TH ST APT 6H",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100234421",
            "telephone_number": "212-724-6507",
            "fax_number": "212-877-7660"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "155 W 70TH ST APT 6H",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100234421",
            "telephone_number": "212-724-6507",
            "fax_number": "212-877-7660"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NATHAN",
        "first_name": "SHARON",
        "middle_name": "G",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-05-16",
        "last_updated": "2025-09-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "NY",
            "license": "6053",
            "primary": false
        },
        {
            "code": "103TB0200X",
            "taxonomy_group": "",
            "desc": "Psychologist, Cognitive & Behavioral",
            "state": "NY",
            "license": "PSYCHOLOGIY 6053",
            "primary": false
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "NY",
            "license": "PSYCHOLOGY 6053",
            "primary": false
        },
        {
            "code": "103TH0004X",
            "taxonomy_group": "",
            "desc": "Psychologist, Health",
            "state": "NY",
            "license": "PSYCHOLOGY 6053",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2025; 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.