Active NPI
Sheree E. Starr, PH.D.
- Clinical Psychologist
- Ocean Springs, MS
National Provider Identifier
1124176771
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- 35-582
- Practice address
- 904 Desoto St
Ocean Springs, MS 39564-3737 - Phone
- (228) 872-8429
- Fax
- (228) 872-0226
- NPI assigned
- Jan 8, 2007
- Sex
- Female
- Sole proprietor
- Yes
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 | 35-582 | MS | Primary |
Addresses
Primary practice location
904 Desoto St
Ocean Springs, MS 39564-3737
Mailing address
2472 Pass Rd
Biloxi, MS 39531-2838
Phone (228) 872-8429
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00121872 | Medicaid | MS |
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 |
|---|---|---|---|
| 35-582 | MS | MD | Clinical Psychologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Applied Psychology Center, PC | Clinical | Past | Accepting new patients |
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": "1168214400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1124176771",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2472 PASS RD",
"city": "BILOXI",
"state": "MS",
"postal_code": "395312838",
"telephone_number": "228-872-8429",
"fax_number": "228-872-0226"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "904 DESOTO ST",
"city": "OCEAN SPRINGS",
"state": "MS",
"postal_code": "395643737",
"telephone_number": "228-872-8429",
"fax_number": "228-872-0226"
}
],
"practiceLocations": [],
"basic": {
"last_name": "STARR",
"first_name": "SHEREE",
"middle_name": "E.",
"name_prefix": "Dr.",
"credential": "PH.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-01-08",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "MS",
"license": "35-582",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00121872",
"state": "MS"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Ocean Springs, MS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 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.