Audrey Rae Sherman, PHD

Primary specialty

PsychologistTaxonomy code 103T00000X

License

PY6697 Issued in FL

Practice address

12641 World Plaza Lane
#56
Ft Myers, FL 33907

Phone

(239) 292-2451

Fax

(239) 939-4662

NPI assigned

May 8, 2008

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in FL, NH2 enrollments

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 2

Specialty

Clinical Psychologist

Education

Other, 1997

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Psychskills Institute Inc

  • Psychologist
  • Fort Myers, FL
  • NPI 1477386555

  NH

  Medicare reassignment NPD Authorized official
• Mental Health Specialty Group PA

  dba Rula Health

  • Mental Health Counselor
  • Durham, NC
  • NPI 1801472634

  NH

  Medicare reassignment NPD
• Gulfside Center for Psychological Services

  • Psychologist
  • Fort Myers, FL
  • NPI 1760514590
  NPD (past)
• Psychotherapy Associates, Inc.

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Rochester, NH
  • NPI 1437365384
  NPD (past)

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

{
    "created_epoch": "1210204800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1444780800000",
    "number": "1114193216",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12641 WORLD PLAZA LANE",
            "address_2": "#56",
            "city": "FT MYERS",
            "state": "FL",
            "postal_code": "33907",
            "telephone_number": "239-292-2451",
            "fax_number": "239-939-4662"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12641 WORLD PLAZA LANE",
            "address_2": "#56",
            "city": "FT MYERS",
            "state": "FL",
            "postal_code": "33907",
            "telephone_number": "239-292-2451",
            "fax_number": "239-939-4662"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHERMAN",
        "first_name": "AUDREY",
        "middle_name": "RAE",
        "name_prefix": "Dr.",
        "credential": "PHD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-05-08",
        "last_updated": "2015-10-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "FL",
            "license": "PY6697",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ganesh Shenoy, MD
• Parna Shenoy, MD
• Tracy Shephard
• Zoe Sheppard, APRN, CNM
• Howard M. Sheridan, MD
• Martin J Sherman, M.D.
• Tera Rae Sherman
• Markus Sherry, DMD
• Rebecca Elizabeth Sherry, LMHC
• Sumeet Shetty, M.D.

• Psychologist in Fort Myers, FL
• Providers in Fort Myers, FL by specialty
• Psychologist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 14, 2015; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.