Individual provider Active NPI

Sheree Ann Bill, PSY.D.

  • Specialist
  • Newport Beach, CA
National Provider Identifier
1093959249
Registry record updated Apr 30, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
PSY22577 Issued in CA
Practice address
901 Dove St Ste 150
Newport Beach, CA 92660-3018
Phone
(714) 310-1670
NPI assigned
Apr 30, 2009
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 30, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X PSY22577 CA Primary

Addresses

Primary practice location

901 Dove St Ste 150
Newport Beach, CA 92660-3018

Mailing address

901 Dove St Ste 150
Newport Beach, CA 92660-3018
Phone (714) 310-1670

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
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
I20090915000142 CA Practitioner - Clinical Psychologist 9638225733 Practice locations: Irvine, CA

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

19772 Macarthur Blvd
Suite 260
Irvine, CA 92612-2412
Phone (714) 310-1670

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PSY22577CAMDSpecialist

NPI Registry JSON

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

{
    "created_epoch": "1241049600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1241049600000",
    "number": "1093959249",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "901 DOVE ST STE 150",
            "city": "NEWPORT BEACH",
            "state": "CA",
            "postal_code": "926603018",
            "telephone_number": "714-310-1670"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "901 DOVE ST STE 150",
            "city": "NEWPORT BEACH",
            "state": "CA",
            "postal_code": "926603018",
            "telephone_number": "714-310-1670"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BILL",
        "first_name": "SHEREE",
        "middle_name": "ANN",
        "name_prefix": "Dr.",
        "credential": "PSY.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-04-30",
        "last_updated": "2009-04-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "CA",
            "license": "PSY22577",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Newport Beach, CA

Sources for this page

Verify at the official NPI Registry.