Individual provider Active NPI

Sherly Raymond, LMFT

  • Marriage & Family Therapist
  • Bronx, NY
National Provider Identifier
1083851422
Registry record updated May 2, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
000727 Issued in NY
Practice address
43 Westchester SQ Ste 3
Bronx, NY 10461-3551
Phone
(347) 278-1044
NPI assigned
Jan 7, 2009
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 2, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family Therapist 106H00000X 000727 NY Primary

Addresses

Primary practice location

43 Westchester SQ Ste 3
Bronx, NY 10461-3551

Mailing address

43 Westchester SQ Ste 3
Bronx, NY 10461-3551
Phone (347) 278-1044

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100125000500 NY Practitioner - Clinical Social Worker 2668514936 Practice locations: Bronx, NY

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Growing Stages Marriage and Family Therapy PLLC Marriage & Family Therapist CurrentSince Nov 28, 2021 Accepting new patients

Locations

43 Westchester Sq
Ste 3
Bronx, NY 10461
Phone (347) 278-1044

Organizations & group practices 1

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": "1231286400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1714608000000",
    "number": "1083851422",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "43 WESTCHESTER SQ STE 3",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104613551",
            "telephone_number": "347-278-1044"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "43 WESTCHESTER SQ STE 3",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104613551",
            "telephone_number": "347-278-1044"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RAYMOND",
        "first_name": "SHERLY",
        "name_prefix": "Mrs.",
        "credential": "LMFT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-01-07",
        "last_updated": "2024-05-02",
        "certification_date": "2024-05-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "NY",
            "license": "000727",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bronx, NY

Sources for this page

Verify at the official NPI Registry.