Individual provider Active NPI

Sheila M Shervey, MFT

  • Marriage & Family Therapist
  • Scottsdale, AZ
National Provider Identifier
1023203320
Registry record updated Jan 14, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
15266 Issued in AZ
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

Updated by the provider on Jan 14, 2021

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
15266OtherAZMARRIAGE AND FAMILY THERAPY LICENSE
53680OtherCAMARRIAGE 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

LicenseStateTypeSpecialty
15266AZMDMarriage & Family Therapist
53680CAMDMarriage & Family Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
One Breath Healing LLC Mental Health CurrentSince Jan 17, 2021 Accepting new patients
One Breath Healing LLC Mental Health CurrentSince Jan 17, 2021 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.

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.

Verify at the official NPI Registry.