Active NPI
Sherry Boyette Eyer, PHD
- Clinical Neuropsychologist
- Millersville, MD
National Provider Identifier
1073117198
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Neuropsychologist
- License
- 1001484
- Practice address
- 1110 Benfield Blvd
Millersville, MD 21108-2639 - Phone
- (571) 314-3261
- NPI assigned
- Nov 30, 2020
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Neuropsychologist | 103G00000X | 080003661 | VA | |
| Clinical Neuropsychologist | 103G00000X | 1001484 | DC | Primary |
Addresses
Primary practice location
1110 Benfield Blvd
Millersville, MD 21108-2639
Mailing address
1110 Benfield Blvd
Millersville, MD 21108-2639
Phone (410) 987-2031
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | Annapolis | Direct |
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
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1001484 | DC | MD | Clinical Neuropsychologist |
| 080003661 | VA | MD | Clinical Neuropsychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1606694400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1606694400000",
"number": "1073117198",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1110 BENFIELD BLVD",
"city": "MILLERSVILLE",
"state": "MD",
"postal_code": "211082639",
"telephone_number": "410-987-2031"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1110 BENFIELD BLVD",
"city": "MILLERSVILLE",
"state": "MD",
"postal_code": "211082639",
"telephone_number": "571-314-3261"
}
],
"practiceLocations": [],
"basic": {
"last_name": "EYER",
"first_name": "SHERRY",
"middle_name": "BOYETTE",
"name_prefix": "Dr.",
"credential": "PHD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-11-30",
"last_updated": "2020-11-30",
"certification_date": "2020-11-30",
"status": "A"
},
"taxonomies": [
{
"code": "103G00000X",
"taxonomy_group": "",
"desc": "Clinical Neuropsychologist",
"state": "VA",
"license": "080003661",
"primary": false
},
{
"code": "103G00000X",
"taxonomy_group": "",
"desc": "Clinical Neuropsychologist",
"state": "DC",
"license": "1001484",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "CONNECT",
"endpointTypeDescription": "CONNECT URL",
"endpoint": "Annapolis",
"affiliation": "N",
"endpointDescription": "office location",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "OTHER",
"contentTypeDescription": "Other",
"contentOtherDescription": "Millersville",
"address_1": "1110 Benfield Blvd",
"city": "Millersville",
"state": "MD",
"country_code": "US",
"postal_code": "211082639",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}Other providers in Millersville, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 30, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.