Healthcare Provider Details
I. General information
NPI: 1518027325
Provider Name (Legal Business Name): SHARIF OKASHA PSY.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N
II. Dates (important events)
Enumeration Date: 12/11/2006
Last Update Date: 08/07/2026
Certification Date: 08/07/2026
Deactivation Date:
Reactivation Date:
III. Provider practice location address
5 NEPONSET ST
WORCESTER MA
01606-2714
US
IV. Provider business mailing address
5 NEPONSET ST
WORCESTER MA
01606-2714
US
V. Phone/Fax
- Phone: 508-856-0732
- Fax: 508-425-5126
- Phone: 508-856-0732
- Fax: 508-425-5126
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | N |
| Taxonomy Code | 103TC0700X |
| Taxonomy | Clinical Psychologist |
| License Number | PSY#22272 |
| License Number State | CA |
| # 2 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 103TC0700X |
| Taxonomy | Clinical Psychologist |
| License Number | PSY10002185 |
| License Number State | MA |
VIII. Authorized Official
Name:
Title or Position:
Credential:
Phone: