Individual provider Active NPI

Sharon Faith Gorenstein, PH.D.

  • Psychologist
  • Owings Mills, MD
National Provider Identifier
1922546951
Registry record updated Feb 10, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
05611 Issued in MD
Practice address
10806 Reisterstown Rd Ste 1E
Owings Mills, MD 21117-4620
Phone
(410) 356-4600
NPI assigned
Feb 10, 2017
Last updated
Feb 10, 2017By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 10, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychologist 103T00000X 05611 MD Primary

Addresses

Primary practice location

10806 Reisterstown Rd Ste 1E
Owings Mills, MD 21117-4620

Mailing address

10806 Reisterstown Rd Ste 1E
Owings Mills, MD 21117-4620
Phone (410) 356-4600

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
05611MDMDPsychologist

NPI Registry JSON

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

{
    "created_epoch": "1486684800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1486684800000",
    "number": "1922546951",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10806 REISTERSTOWN RD STE 1E",
            "city": "OWINGS MILLS",
            "state": "MD",
            "postal_code": "211174620",
            "telephone_number": "410-356-4600"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10806 REISTERSTOWN RD STE 1E",
            "city": "OWINGS MILLS",
            "state": "MD",
            "postal_code": "211174620",
            "telephone_number": "410-356-4600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GORENSTEIN",
        "first_name": "SHARON",
        "middle_name": "FAITH",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-02-10",
        "last_updated": "2017-02-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "MD",
            "license": "05611",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Owings Mills, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 10, 2017; 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.