Active NPI
Marilu Sanchez, PSY.D.
- Clinical Psychologist
- Hollywood, CA
National Provider Identifier
1962782276
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- PSY27177
- Practice address
- 6368 Hollywood Blvd
Hollywood, CA 90028-6320 - Phone
- (213) 384-4555
- Fax
- (213) 382-9555
- NPI assigned
- Aug 18, 2011
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | |||
| Clinical Psychologist | 103TC0700X | PSB37700 | CA | |
| Clinical Psychologist | 103TC0700X | PSY27177 | CA | Primary |
Addresses
Primary practice location
6368 Hollywood Blvd
Hollywood, CA 90028-6320
Mailing address
6368 Hollywood Blvd
Hollywood, CA 90028-6320
Phone (213) 384-4555
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
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PSB37700 | CA | MD | Clinical Psychologist |
| PSY27177 | CA | MD | Clinical Psychologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Department of State Hospitals | Current | Accepting new patients | |
| Get Your Life Right, Inc. | Current | Accepting new patients | |
| Mellow Medical Inc a Professional Corporation | Current | Accepting new patients | |
| Department of State Hospitals | Current | Accepting new patients |
Locations
1215 O St
#3
Sacramento, CA 95814
Phone (916) 651-2805
8235 Santa Monica Blvd
Ste 302
West Hollywood, CA 90046
Phone (310) 892-4284
Interoperability endpoints
- https://api.platform.athenahealth.com/9357/brand/1/csg/1/fhir/r4
Organizations & group practices 5
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.
-
- Psychiatric Hospital
- Coalinga, CA
- NPI 1124078704
-
- Psychiatry Physician
- West Hollywood, CA
- NPI 1407275886
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Los Angeles, CA
- NPI 1487309621
-
- Clinical Psychologist
- Commerce, CA
- NPI 1588335087
-
- Psychiatric Hospital
- Atascadero, CA
- NPI 1174573802
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1313625600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1436745600000",
"number": "1962782276",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6368 HOLLYWOOD BLVD",
"city": "HOLLYWOOD",
"state": "CA",
"postal_code": "900286320",
"telephone_number": "213-384-4555",
"fax_number": "213-382-9555"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6368 HOLLYWOOD BLVD",
"city": "HOLLYWOOD",
"state": "CA",
"postal_code": "900286320",
"telephone_number": "213-384-4555",
"fax_number": "213-382-9555"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SANCHEZ",
"first_name": "MARILU",
"name_prefix": "Dr.",
"credential": "PSY.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2011-08-18",
"last_updated": "2015-07-13",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": null,
"license": null,
"primary": false
},
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "CA",
"license": "PSB37700",
"primary": false
},
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "CA",
"license": "PSY27177",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Hollywood, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.