Sandra Dickey Harner, PHD

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

PSY 15790 Issued in CA

Practice address

100 Tamal Plaza
Suite 195
Corte Madera, CA 94925

Phone

(415) 721-4570

Fax

(415) 380-9071

NPI assigned

May 8, 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

• Sandra Ferial Dickey Other name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Philosophy

State licenses

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

{
    "created_epoch": "1178582400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1992918411",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1709",
            "city": "MILL VALLEY",
            "state": "CA",
            "postal_code": "94942",
            "telephone_number": "415-380-9475",
            "fax_number": "415-380-9071"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 TAMAL PLAZA",
            "address_2": "SUITE 195",
            "city": "CORTE MADERA",
            "state": "CA",
            "postal_code": "94925",
            "telephone_number": "415-721-4570",
            "fax_number": "415-380-9071"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HARNER",
        "first_name": "SANDRA",
        "middle_name": "DICKEY",
        "name_prefix": "Mrs.",
        "credential": "PHD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-05-08",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "CA",
            "license": "PSY 15790",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SANDRA",
            "last_name": "DICKEY",
            "middle_name": "FERIAL",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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• Clinical Psychologist in Corte Madera, CA
• Providers in Corte Madera, CA by specialty
• Clinical Psychologist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.