Organization Active NPI

Dr. Adam Sherman, PC

Doing business as Tulsa Neuropsych Associates

  • Clinical Psychologist
  • Tulsa, OK
National Provider Identifier
1083098800
Registry record updated Aug 18, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
771 Issued in OK
Legal business name
DR. ADAM SHERMAN, PC
Doing business as
Tulsa Neuropsych Associates
Practice address
3015 E Skelly Dr
Suite 135
Tulsa, OK 74105-6317
Phone
(918) 712-2885
Fax
(918) 712-9019
NPI assigned
Jul 10, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 18, 2015

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

Authorized official

Name
Dr. Adam G Sherman, PHDNPI 1225210115
Title
President
Phone
(918) 712-2885

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical PsychologistGroup: 193400000X SINGLE SPECIALTY GROUP 103TC0700X 771 OK Primary

Addresses

Primary practice location

3015 E Skelly Dr
Suite 135
Tulsa, OK 74105-6317

Mailing address

3015 E Skelly Dr
Suite 135
Tulsa, OK 74105-6317
Phone (918) 712-2885

Other identifiers 1

IdentifierTypeStateIssuer
100836930AMedicaidOK

Other names 1

  • Tulsa Neuropsych Associates Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OK

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20160105000500 OK Part B Supplier - Clinic/Group Practice 8325340680 Receives reassigned benefits from 1 practitioner
Practice locations: Tulsa, OK

National Provider Directory

National Provider Directory
Tax ID family
Adam G Sherman PHD PC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

3015 E Skelly Dr
Ste 135
Tulsa, OK 74105
Phone (918) 636-6476

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1436486400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1439856000000",
    "number": "1083098800",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3015 E SKELLY DR",
            "address_2": "SUITE 135",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741056317",
            "telephone_number": "918-712-2885",
            "fax_number": "918-712-9019"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3015 E SKELLY DR",
            "address_2": "SUITE 135",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741056317",
            "telephone_number": "918-712-2885",
            "fax_number": "918-712-9019"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR. ADAM SHERMAN, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-07-10",
        "last_updated": "2015-08-18",
        "status": "A",
        "authorized_official_last_name": "SHERMAN",
        "authorized_official_first_name": "ADAM",
        "authorized_official_middle_name": "G",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "918-712-2885",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHD"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist, Clinical",
            "state": "OK",
            "license": "771",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100836930A",
            "state": "OK"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Tulsa Neuropsych Associates",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Tulsa, OK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 18, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.