Active NPI
Sheila M Shervey, MFT
- Marriage & Family Therapist
- Scottsdale, AZ
National Provider Identifier
1023203320
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Marriage & Family Therapist
- License
- 15266
- Practice address
- 19175 N 95TH PL
Scottsdale, AZ 85255-5573 - Phone
- (818) 585-2760
- NPI assigned
- Sep 10, 2007
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | |||
| Marriage & Family Therapist | 106H00000X | 53680 | CA | |
| Adult Mental Health Clinic/Center | 261QM0850X | |||
| Marriage & Family Therapist | 106H00000X | 15266 | AZ | Primary |
Addresses
Primary practice location
19175 N 95TH PL
Scottsdale, AZ 85255-5573
Mailing address
19175 N 95TH PL
Scottsdale, AZ 85255-5573
Phone (818) 585-2760
Other practice location 1
2116 Arlington Ave
Los Angeles, CA 90018-1365
Phone (323) 737-3900
Other practice location 2
8360 E Via De Ventura Ste L-240
Scottsdale, AZ 85258
Phone (818) 585-2760
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 15266 | Other | AZ | MARRIAGE AND FAMILY THERAPY LICENSE |
| 53680 | Other | CA | MARRIAGE AND FAMILY THERAPY LICENSE |
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 15266 | AZ | MD | Marriage & Family Therapist |
| 53680 | CA | MD | Marriage & Family Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| One Breath Healing LLC | Mental Health | Current | Accepting new patients |
| One Breath Healing LLC | Mental Health | Current | Accepting new patients |
Locations
8360 E Via de Ventura
Ste L240
Scottsdale, AZ 85258
Phone (818) 585-2760
Organizations & group practices 2
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.
-
- Adult Mental Health Clinic/Center
- Scottsdale, AZ
- NPI 1538647045
-
- Adult Mental Health Clinic/Center
- Scottsdale, AZ
- NPI 1659846871
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1189382400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1610582400000",
"number": "1023203320",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "19175 N 95TH PL",
"city": "SCOTTSDALE",
"state": "AZ",
"postal_code": "852555573",
"telephone_number": "818-585-2760"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "19175 N 95TH PL",
"city": "SCOTTSDALE",
"state": "AZ",
"postal_code": "852555573",
"telephone_number": "818-585-2760"
}
],
"practiceLocations": [
{
"address_1": "2116 Arlington Ave",
"address_purpose": "LOCATION",
"city": "Los Angeles",
"state": "CA",
"postal_code": "900181365",
"country_code": "US",
"telephone_number": "323-737-3900",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "8360 E Via De Ventura Ste L-240",
"address_purpose": "LOCATION",
"city": "Scottsdale",
"state": "AZ",
"postal_code": "85258",
"country_code": "US",
"telephone_number": "818-585-2760",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "SHERVEY",
"first_name": "SHEILA",
"middle_name": "M",
"credential": "MFT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-09-10",
"last_updated": "2021-01-14",
"certification_date": "2021-01-14",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": null,
"license": null,
"primary": false
},
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "CA",
"license": "53680",
"primary": false
},
{
"code": "261QM0850X",
"taxonomy_group": "",
"desc": "Clinic/Center, Adult Mental Health",
"state": null,
"license": null,
"primary": false
},
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "AZ",
"license": "15266",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MARRIAGE AND FAMILY THERAPY LICENSE",
"identifier": "15266",
"state": "AZ"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MARRIAGE AND FAMILY THERAPY LICENSE",
"identifier": "53680",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Scottsdale, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 14, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.