Active NPI
Sheila M Coonerty, PHD
- Psychologist
- Santa Cruz, CA
National Provider Identifier
1134296403
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- License
- PSY15254
- Practice address
- 119 Dimond St
Santa Cruz, CA 95060-3423 - Phone
- (831) 429-4115
- Fax
- (831) 600-7528
- NPI assigned
- Nov 29, 2006
- 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 |
|---|---|---|---|---|
| Psychologist | 103T00000X | PSY15254 | CA | Primary |
Addresses
Primary practice location
119 Dimond St
Santa Cruz, CA 95060-3423
Mailing address
119 Dimond St
Santa Cruz, CA 95060-3423
Phone (831) 429-4115
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: No
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PSY15254 | CA | MD | Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1164758400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1634169600000",
"number": "1134296403",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "119 DIMOND ST",
"city": "SANTA CRUZ",
"state": "CA",
"postal_code": "950603423",
"telephone_number": "831-429-4115",
"fax_number": "831-600-7528"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "119 DIMOND ST",
"city": "SANTA CRUZ",
"state": "CA",
"postal_code": "950603423",
"telephone_number": "831-429-4115",
"fax_number": "831-600-7528"
}
],
"practiceLocations": [],
"basic": {
"last_name": "COONERTY",
"first_name": "SHEILA",
"middle_name": "M",
"name_prefix": "Dr.",
"credential": "PHD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-11-29",
"last_updated": "2021-10-14",
"certification_date": "2021-10-14",
"status": "A"
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "CA",
"license": "PSY15254",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Santa Cruz, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 14, 2021; 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.