Individual provider Active NPI

Cheryl A Shope, M.S.

  • Psychologist
  • Harrisburg, PA
National Provider Identifier
1023077039
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
PS-007421-L Issued in PA
Practice address
2215 Forest Hills Dr
Ste 38
Harrisburg, PA 17112-1099
Phone
(717) 540-5353
Fax
(717) 540-5151
NPI assigned
Mar 20, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychologist 103T00000X PS-007421-L PA Primary

Addresses

Primary practice location

2215 Forest Hills Dr
Ste 38
Harrisburg, PA 17112-1099

Mailing address

2215 Forest Hills Dr
Ste 38
Harrisburg, PA 17112-1099
Phone (717) 540-5353

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
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
PS-007421-LPAMDPsychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Commonwealth Affiliated Services, Inc Psychologist PastSince Jul 31, 2010 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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1142812800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1023077039",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2215 FOREST HILLS DR",
            "address_2": "STE 38",
            "city": "HARRISBURG",
            "state": "PA",
            "postal_code": "171121099",
            "telephone_number": "717-540-5353",
            "fax_number": "717-540-5151"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2215 FOREST HILLS DR",
            "address_2": "STE 38",
            "city": "HARRISBURG",
            "state": "PA",
            "postal_code": "171121099",
            "telephone_number": "717-540-5353",
            "fax_number": "717-540-5151"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHOPE",
        "first_name": "CHERYL",
        "middle_name": "A",
        "name_prefix": "Ms.",
        "credential": "M.S.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-03-20",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "PA",
            "license": "PS-007421-L",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Harrisburg, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 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.

Verify at the official NPI Registry.