Individual provider Active NPI

Sheri Sabrdaran

  • Marriage & Family Therapist
  • Newport Beach, CA
National Provider Identifier
1730701087
Registry record updated Dec 15, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
LMFT135955 Issued in CA
Practice address
4000 Macarthur Blvd FL Tower6
Newport Beach, CA 92660-2558
Phone
(949) 312-1558
NPI assigned
May 9, 2020
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 15, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family Therapist 106H00000X LMFT135955 CA Primary

Addresses

Primary practice location

4000 Macarthur Blvd FL Tower6
Newport Beach, CA 92660-2558

Mailing address

6327 Residencia
Newport Beach, CA 92660-9051
Phone (949) 302-1217

Other practice location 1

23331 El Toro Rd
Lake Forest, CA 92630-4891
Phone (949) 312-1558

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
LMFT135955CAMDMarriage & Family Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Clear Mind Marriage and Family Therapy, Inc CurrentSince Feb 25, 2024 Accepting new patients
Straight Talk Clinic, Inc. PastSince May 1, 2020 Accepting new patients

Locations

4000 MacArthur Blvd
#6
Newport Beach, CA 92660
Phone (949) 312-1558

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": "1588982400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1671062400000",
    "number": "1730701087",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6327 RESIDENCIA",
            "city": "NEWPORT BEACH",
            "state": "CA",
            "postal_code": "926609051",
            "telephone_number": "949-302-1217"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4000 MACARTHUR BLVD FL TOWER6",
            "city": "NEWPORT BEACH",
            "state": "CA",
            "postal_code": "926602558",
            "telephone_number": "949-312-1558"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "23331 El Toro Rd",
            "address_purpose": "LOCATION",
            "city": "Lake Forest",
            "state": "CA",
            "postal_code": "926304891",
            "country_code": "US",
            "telephone_number": "949-312-1558",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SABRDARAN",
        "first_name": "SHERI",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-05-09",
        "last_updated": "2022-12-15",
        "certification_date": "2022-12-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "LMFT135955",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Newport Beach, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 15, 2022; 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.