Active NPI
Sheri L Wheelock, PSYD
- Psychologist
- Newport, ME
National Provider Identifier
1003857780
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- License
- PS1010
- Practice address
- 442 Moosehead TRL
Newport, ME 04953-4004 - Phone
- (207) 368-2072
- Fax
- (207) 368-5290
- NPI assigned
- Jun 10, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychologist | 103T00000X | PS1010 | ME | Primary |
Addresses
Primary practice location
442 Moosehead TRL
Newport, ME 04953-4004
Mailing address
29 Franklin St
Bangor, ME 04401-4909
Phone (207) 942-3816
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 098303 | Other | ME | ANTHEM LEGACY NUMBER |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Northeast Occupational Exchange, Inc | Psychologist | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Psychologist
- Bangor, ME
- NPI 1427002138
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1149897600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183939200000",
"number": "1003857780",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "29 FRANKLIN ST",
"city": "BANGOR",
"state": "ME",
"postal_code": "044014909",
"telephone_number": "207-942-3816",
"fax_number": "207-561-4725"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "442 MOOSEHEAD TRL",
"city": "NEWPORT",
"state": "ME",
"postal_code": "049534004",
"telephone_number": "207-368-2072",
"fax_number": "207-368-5290"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WHEELOCK",
"first_name": "SHERI",
"middle_name": "L",
"name_prefix": "Dr.",
"credential": "PSYD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-06-10",
"last_updated": "2007-07-09",
"status": "A"
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "ME",
"license": "PS1010",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ANTHEM LEGACY NUMBER",
"identifier": "098303",
"state": "ME"
}
],
"endpoints": [],
"other_names": []
}Other providers in Newport, ME
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.