Individual provider Active NPI

Sharleen Engel

  • Contractor
  • Long Beach, CA
National Provider Identifier
1962895581
Registry record updated Mar 6, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
ContractorTaxonomy code 171W00000X
License
7757 Issued in CA
Practice address
1803 Termino Ave
# 2402
Long Beach, CA 90815-2691
Phone
(973) 738-2585
Fax
(562) 494-8396
NPI assigned
Mar 6, 2015
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 6, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Contractor 171W00000X 7757 CA Primary

Addresses

Primary practice location

1803 Termino Ave
# 2402
Long Beach, CA 90815-2691

Mailing address

1803 Termino Ave
# 2402
Long Beach, CA 90815-2691
Phone (973) 738-2585

Other identifiers 1

IdentifierTypeStateIssuer
7757OtherCAOCCUPATIONAL THERAPIST

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

State licenses

LicenseStateTypeSpecialty
7757CAMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Hallmark Rehab Past Accepting new patients

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1425600000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1425600000000",
    "number": "1962895581",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1803 TERMINO AVE",
            "address_2": "# 2402",
            "city": "LONG BEACH",
            "state": "CA",
            "postal_code": "908152691",
            "telephone_number": "973-738-2585",
            "fax_number": "562-494-8396"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1803 TERMINO AVE",
            "address_2": "# 2402",
            "city": "LONG BEACH",
            "state": "CA",
            "postal_code": "908152691",
            "telephone_number": "973-738-2585",
            "fax_number": "562-494-8396"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ENGEL",
        "first_name": "SHARLEEN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-03-06",
        "last_updated": "2015-03-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171W00000X",
            "taxonomy_group": "",
            "desc": "Contractor",
            "state": "CA",
            "license": "7757",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OCCUPATIONAL THERAPIST",
            "identifier": "7757",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Long Beach, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 6, 2015; 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.