DR. PHYLLIS SHERLOCK PHD NPI 1558378240

NPI Information

NPI: 1558378240
Provider Name: DR. PHYLLIS SHERLOCK, PHD
Classification: Counselor - 101YP2500X
Entity Type: Individual

Specialization: Professional

PECOS Registration: Yes

Address:
1275 DANA AVE
PALO ALTO, CA
ZIP 94301
Phone: (650) 325-8131
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DR. Phyllis Sherlock, PHD is a professional counselor in Palo Alto, CA with 44 years of experience. DR. Phyllis Sherlock, PHD NPI is 1558378240. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

1275 DANA AVE
PALO ALTO, CA
ZIP 94301-112
Phone: (650) 325-8131
Fax: (650) 325-8131

The NPI 1558378240 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment.

The enumeration date for this NPI number is 8/2/2006 and was last updated on 7/8/2007.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	101YP2500X	Counselor	Professional	C0584	OREGON	Yes
2	103TC0700X	Psychologist	Clinical	PSY7542	CALIFORNIA	X
3	106H00000X	Marriage & Family Therapist		MFC13561	CALIFORNIA	X

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	PSY075420	MEDICAID	CALIFORNIA
2	00PL75420	MEDICARE ID-TYPE UNSPECIFIED	CALIFORNIA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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