Provider Demographics
NPI:1801913702
Name:SANKARAN, KYRIE (PHD)
Entity type:Individual
Prefix:DR
First Name:KYRIE
Middle Name:
Last Name:SANKARAN
Suffix:
Gender:
Credentials:PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 1732
Mailing Address - Street 2:
Mailing Address - City:OJAI
Mailing Address - State:CA
Mailing Address - Zip Code:93024-1732
Mailing Address - Country:US
Mailing Address - Phone:424-999-8621
Mailing Address - Fax:424-358-4837
Practice Address - Street 1:530 W OJAI AVE STE 205
Practice Address - Street 2:
Practice Address - City:OJAI
Practice Address - State:CA
Practice Address - Zip Code:93023-2472
Practice Address - Country:US
Practice Address - Phone:424-999-8621
Practice Address - Fax:424-358-4837
Is Sole Proprietor?:Yes
Enumeration Date:2007-03-23
Last Update Date:2025-03-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAPSY21476103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical