Healthcare Provider Details

I. General information

NPI: 1740328111
Provider Name (Legal Business Name): SARA LEDERER SIMPSON PSY.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 02/01/2007
Last Update Date: 09/29/2026
Certification Date: 09/26/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

SARA SIMPSON #112 1480 COLORADO BOULEVARD #200A
LOS ANGELES CA
90041
US

IV. Provider business mailing address

SARA SIMPSON #112 1480 COLORADO BOULEVARD #200A
LOS ANGELES CA
90041
US

V. Phone/Fax

Practice location:
  • Phone: 818-538-6072
  • Fax:
Mailing address:
  • Phone: 818-538-6072
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103T00000X
TaxonomyPsychologist
License NumberPSY25416
License Number StateCA
# 2
Primary TaxonomyN
Taxonomy Code103TC0700X
TaxonomyClinical Psychologist
License NumberPSY23416
License Number StateCA
# 3
Primary TaxonomyN
Taxonomy Code390200000X
TaxonomyStudent in an Organized Health Care Education/Training Program
License Number
License Number StateNULL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: