Healthcare Provider Details
I. General information
NPI: 1710479365
Provider Name (Legal Business Name): SHARILYN EILEEN ADAMS PSY.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: Y
II. Dates (important events)
Enumeration Date: 05/30/2018
Last Update Date: 10/06/2026
Certification Date: 10/06/2026
Deactivation Date:
Reactivation Date:
III. Provider practice location address
23931 JENSEN DR
WEST HILLS CA
91304-3010
US
IV. Provider business mailing address
6520 PLATT AVE # 568
WEST HILLS CA
91307-3218
US
V. Phone/Fax
- Phone: 818-312-4306
- Fax:
- Phone:
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | N |
| Taxonomy Code | 103TB0200X |
| Taxonomy | Cognitive & Behavioral Psychologist |
| License Number | |
| License Number State | NULL |
| # 2 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 103TC0700X |
| Taxonomy | Clinical Psychologist |
| License Number | PSY29885 |
| License Number State | CA |
VIII. Authorized Official
Name:
Title or Position:
Credential:
Phone: