Malia Sherman, PSY.D

Primary specialty

PsychologistTaxonomy code 103T00000X

License

PSY25476 Issued in CA

Practice address

3950 N Chestnut Ave Ste 105a
Fresno, CA 93726-4729

Phone

(559) 977-7285

NPI assigned

Jan 12, 2007

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Malia Mortimer Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Corrections and Rehabilitation-Headquarters

  • Pharmacy
  • Coalinga, CA
  • NPI 1427684257
  NPD (past)

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

{
    "created_epoch": "1168560000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1690416000000",
    "number": "1942350723",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3950 N CHESTNUT AVE STE 105A",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937264729",
            "telephone_number": "559-977-7285"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3950 N CHESTNUT AVE STE 105A",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937264729",
            "telephone_number": "559-977-7285"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHERMAN",
        "first_name": "MALIA",
        "name_prefix": "Dr.",
        "credential": "PSY.D",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-01-12",
        "last_updated": "2023-07-27",
        "certification_date": "2023-07-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "CA",
            "license": "PSY25476",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MALIA",
            "last_name": "MORTIMER",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Chelsey Sherian
• Bret Edward Sherman, M.D., PH.D., F.A.C.S
• Ceylon Monique Sherman
• Kathryn Ellen Sherman
• Kristy Sherman
• Haley Sherritt
• Yusuf Ahmad Sherzad, MD
• Nikita Shetty, M.D.
• Rakshand Shetty, MD
• Sheetal Kuckreja Shetty, MD

• Psychologist in Fresno, CA
• Providers in Fresno, CA by specialty
• Psychologist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 27, 2023; 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.