Sharon Lee Hackitt-Holliday, MSW, LCDC

Primary specialty

Rehabilitation PractitionerTaxonomy code 225400000X

Practice address

16055 Ventura Blvd
Suite 828
Encino, CA 91436-2601

Phone

(818) 585-3951

Fax

(818) 784-0954

NPI assigned

Mar 15, 2007

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other identifiers 1

Other names 1

• Sharon Lee Hackitt-Puterbaugh Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1173916800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1228089600000",
    "number": "1972637635",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16055 VENTURA BLVD",
            "address_2": "SUITE 828",
            "city": "ENCINO",
            "state": "CA",
            "postal_code": "914362601",
            "telephone_number": "818-585-3951",
            "fax_number": "818-784-0954"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16055 VENTURA BLVD",
            "address_2": "SUITE 828",
            "city": "ENCINO",
            "state": "CA",
            "postal_code": "914362601",
            "telephone_number": "818-585-3951",
            "fax_number": "818-784-0954"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HACKITT-HOLLIDAY",
        "first_name": "SHARON",
        "middle_name": "LEE",
        "name_prefix": "Ms.",
        "credential": "MSW, LCDC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-03-15",
        "last_updated": "2008-12-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225400000X",
            "taxonomy_group": "",
            "desc": "Rehabilitation Practitioner",
            "state": "CA",
            "license": null,
            "primary": true
        },
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "CA",
            "license": "104563",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CALIFORNIA CERTIFICATION BOARD OF CHEMICAL DEPENDENCY COUNSELORS",
            "identifier": "104563",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SHARON",
            "last_name": "HACKITT-PUTERBAUGH",
            "middle_name": "LEE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Shahul Habib, MS, BCBA
• Habko Home Health Care, Inc.
• Sion Habtemariam
• Kathryn Russell Hack, M.A., M.F.T.
• Karen Hacker, BCBA
• Joseph M Hadi, M.D.
• Erin Hafey, MA
• Melissa Hagar
• Sanam Dalir Haghighi
• Daniel Hai, PSY.D.

• Rehabilitation Practitioner in Encino, CA
• Providers in Encino, CA by specialty
• Rehabilitation Practitioner in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 1, 2008; 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.