Active NPI
Michelle Thomasine Sheets, PH.D.
- Clinical Psychologist
- New York, NY
National Provider Identifier
1104119452
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- 018906
- Practice address
- 244 5TH Ave Ste S236
New York, NY 10001-7604 - Phone
- (347) 977-7637
- NPI assigned
- May 19, 2011
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | 018906 | NY | Primary |
Addresses
Primary practice location
244 5TH Ave Ste S236
New York, NY 10001-7604
Mailing address
847 Euclaire Ave
Bexley, OH 43209-2415
Phone (347) 977-7637
Other practice location 1
23 Forry St
Newark, OH 43055-4057
Phone (347) 977-7637
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY, OH
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 2
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 018906 | NY | MD | Medical Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Integrated Therapeutic Services | Clinical | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- Clinical Psychologist
- Far Rockaway, NY
- NPI 1073669875
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1305763200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1675900800000",
"number": "1104119452",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "847 EUCLAIRE AVE",
"city": "BEXLEY",
"state": "OH",
"postal_code": "432092415",
"telephone_number": "347-977-7637"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "244 5TH AVE STE S236",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100017604",
"telephone_number": "347-977-7637"
}
],
"practiceLocations": [
{
"address_1": "23 Forry St",
"address_purpose": "LOCATION",
"city": "Newark",
"state": "OH",
"postal_code": "430554057",
"country_code": "US",
"telephone_number": "347-977-7637",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "SHEETS",
"first_name": "MICHELLE",
"middle_name": "THOMASINE",
"name_prefix": "Dr.",
"credential": "PH.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2011-05-19",
"last_updated": "2023-02-09",
"certification_date": "2023-02-09",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "NY",
"license": "018906",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in New York, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 9, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.