Individual provider Active NPI

Dennis Sapire, JD PHD

  • Clinical Psychologist
  • Rancho Mirage, CA
National Provider Identifier
1790095248
Registry record updated May 15, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
PSY18734 Issued in CA
Practice address
41750 Rancho Las Palmas Dr Ste L-3
Rancho Mirage, CA 92270-5514
Phone
(760) 318-5043
Fax
(760) 636-0290
NPI assigned
Oct 18, 2010
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 15, 2018

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Exercise & Sports Psychologist 103TE1100X PSY18734 CA
Health Psychologist 103TH0004X PSY18734 CA
Clinical Psychologist 103TC0700X PSY18734 CA Primary

Addresses

Primary practice location

41750 Rancho Las Palmas Dr Ste L-3
Rancho Mirage, CA 92270-5514

Mailing address

41750 Rancho Las Palmas Dr Ste L-3
Rancho Mirage, CA 92270-5514
Phone (760) 318-5043

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
I20110427000326 CA Practitioner - Clinical Psychologist 6507041373 Practice locations: Rancho Mirage, CA

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

69762 Camino Pacifico
Rancho Mirage, CA 92270-1816

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
PSY18734CAMDExercise & Sports Psychologist
18734CAMDClinical Social Worker

NPI Registry JSON

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

{
    "created_epoch": "1287360000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1526342400000",
    "number": "1790095248",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "41750 RANCHO LAS PALMAS DR STE L-3",
            "city": "RANCHO MIRAGE",
            "state": "CA",
            "postal_code": "922705514",
            "telephone_number": "760-318-5043",
            "fax_number": "760-636-0290"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "41750 RANCHO LAS PALMAS DR STE L-3",
            "city": "RANCHO MIRAGE",
            "state": "CA",
            "postal_code": "922705514",
            "telephone_number": "760-318-5043",
            "fax_number": "760-636-0290"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SAPIRE",
        "first_name": "DENNIS",
        "name_prefix": "Dr.",
        "credential": "JD PHD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2010-10-18",
        "last_updated": "2018-05-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TE1100X",
            "taxonomy_group": "",
            "desc": "Psychologist, Exercise & Sports",
            "state": "CA",
            "license": "PSY18734",
            "primary": false
        },
        {
            "code": "103TH0004X",
            "taxonomy_group": "",
            "desc": "Psychologist, Health",
            "state": "CA",
            "license": "PSY18734",
            "primary": false
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "CA",
            "license": "PSY18734",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rancho Mirage, CA

Sources for this page

Verify at the official NPI Registry.