Active NPI
Daniel Sherman, PH.D.
- Psychologist
- San Pedro, CA
National Provider Identifier
1942217310
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- License
- PSY8352
- Practice address
- 1300 W 7TH St
San Pedro, CA 90732-3505 - Phone
- (310) 514-5370
- Fax
- (310) 514-5374
- NPI assigned
- Aug 1, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychologist | 103T00000X | PSY8352 | CA | Primary |
Addresses
Primary practice location
1300 W 7TH St
San Pedro, CA 90732-3505
Mailing address
380 S Lake Ave Ste 211
Pasadena, CA 91101-3581
Phone (310) 514-5370
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20090211000426 | CA | Practitioner - Psychologist Billing Independently | 1658436472 | Practice locations: San Pedro, CA; Pasadena, CA |
Care Compare profile
Medicare Care Compare- Specialty
- Clinical Psychologist
- Education
- Southern Illinois University School of Medicine, 1983
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
1300 W 7TH St
San Pedro, CA 90732-3505
Phone (310) 514-5370
380 S Lake Ave
Suite 211
Pasadena, CA 91101-3581
Phone (310) 283-6938
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PSY8352 | CA | MD | Psychologist |
Networks
- BSC 65 PLUS INDIVIDUAL MAPD
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1154390400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1330646400000",
"number": "1942217310",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "380 S LAKE AVE STE 211",
"city": "PASADENA",
"state": "CA",
"postal_code": "911013581",
"telephone_number": "310-514-5370",
"fax_number": "310-514-5374"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1300 W 7TH ST",
"city": "SAN PEDRO",
"state": "CA",
"postal_code": "907323505",
"telephone_number": "310-514-5370",
"fax_number": "310-514-5374"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SHERMAN",
"first_name": "DANIEL",
"credential": "PH.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-08-01",
"last_updated": "2012-03-02",
"status": "A"
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "CA",
"license": "PSY8352",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in San Pedro, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 2, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.