Active NPI
Michael Woodrow Sharp, PH.D.
- Clinical Psychologist
- Arlington, TX
National Provider Identifier
1083633382
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- 2-1273
- Practice address
- Saddle Oak Drive
Arlington, TX 76001 - Phone
- (817) 483-3852
- NPI assigned
- Jul 18, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | 2-1273 | TX | Primary |
Addresses
Primary practice location
Saddle Oak Drive
Arlington, TX 76001
Mailing address
PO Box 175187
Arlington, TX 76003-5187
Phone (817) 483-3852
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 103105601 | Medicaid | TX | |
| 680011483 | Other | TX | RAIL ROAD |
| 86382A | Other | TX | BLUE CROSS BLUE SHEILD |
| 103105602 | Medicaid | TX |
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
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2-1273 | TX | MD | Clinical Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1153180800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1184630400000",
"number": "1083633382",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 175187",
"city": "ARLINGTON",
"state": "TX",
"postal_code": "760035187",
"telephone_number": "817-483-3852"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "SADDLE OAK DRIVE",
"city": "ARLINGTON",
"state": "TX",
"postal_code": "76001",
"telephone_number": "817-483-3852"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SHARP",
"first_name": "MICHAEL",
"middle_name": "WOODROW",
"name_prefix": "Dr.",
"credential": "PH.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-07-18",
"last_updated": "2007-07-17",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "TX",
"license": "2-1273",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "103105601",
"state": "TX"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAIL ROAD",
"identifier": "680011483",
"state": "TX"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHEILD",
"identifier": "86382A",
"state": "TX"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "103105602",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Arlington, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 17, 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.