Susan Sari Gelerman, LICENSED CLINICAL SO

Primary specialty

PsychologistTaxonomy code 103T00000X

License

LIC6052 Issued in CA

Practice address

3231 Ocean Park Blvd #103
Santa Monica, CA 90405

Phone

(310) 450-4255

Fax

(310) 455-2070

NPI assigned

Dec 28, 2006

Last updated

Feb 22, 2016By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1167264000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1456099200000",
    "number": "1801952478",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3231 OCEAN PARK BLVD",
            "address_2": "SUITE 103",
            "city": "SANTA MONICA",
            "state": "CA",
            "postal_code": "904053221",
            "telephone_number": "310-450-4755",
            "fax_number": "310-455-2070"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3231 OCEAN PARK BLVD #103",
            "city": "SANTA MONICA",
            "state": "CA",
            "postal_code": "90405",
            "telephone_number": "310-450-4255",
            "fax_number": "310-455-2070"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GELERMAN",
        "first_name": "SUSAN",
        "middle_name": "SARI",
        "name_prefix": "Ms.",
        "credential": "LICENSED CLINICAL SO",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-12-28",
        "last_updated": "2016-02-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "CA",
            "license": "LIC6052",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BOARD OF BEHAVIORAL SCIEN",
            "identifier": "LIC 6052",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Daniel Lars Gehlbach, MD, MPH
• Janel Gehrke, LAC, MTOM
• Vivian Geiger, LCSW
• Martin K. Gelbard, M.D.
• Lillian Gelberg, MD
• Amy Gelfand, D.O.
• Samantha Harbert Gelfand
• Bernard David Geller, M.D., PH.D.
• Rachel Gelman
• Jessica Gelson, MFT

• Psychologist in Santa Monica, CA
• Providers in Santa Monica, CA by specialty
• Psychologist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 22, 2016; 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.