Individual provider Active NPI

Michael Albert Sheffield, PSYD

  • Clinical Psychologist
  • Weston, FL
National Provider Identifier
1134878564
Registry record updated Mar 22, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
PY11417 Issued in FL
Practice address
2233 N Commerce Pkwy Ste 1
Weston, FL 33326-3252
Phone
(954) 217-1757
NPI assigned
Mar 22, 2022
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 22, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X PY11417 FL Primary

Addresses

Primary practice location

2233 N Commerce Pkwy Ste 1
Weston, FL 33326-3252

Mailing address

2233 N Commerce Pkwy Ste 3
Weston, FL 33326-3252

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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
PY11417FLMDClinical Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Compassionate Healing Institute LLC Current Accepting new patients
Mjen LLC CurrentSince Sep 24, 2023 Accepting new patients

Locations

2233 N Commerce Pkwy
Ste 3
Weston, FL 33326
Phone (954) 217-1757

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.

NPI Registry JSON

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

{
    "created_epoch": "1647907200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1647907200000",
    "number": "1134878564",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2233 N COMMERCE PKWY STE 3",
            "city": "WESTON",
            "state": "FL",
            "postal_code": "333263252"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2233 N COMMERCE PKWY STE 1",
            "city": "WESTON",
            "state": "FL",
            "postal_code": "333263252",
            "telephone_number": "954-217-1757"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHEFFIELD",
        "first_name": "MICHAEL",
        "middle_name": "ALBERT",
        "name_prefix": "Dr.",
        "credential": "PSYD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-03-22",
        "last_updated": "2022-03-22",
        "certification_date": "2022-03-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "FL",
            "license": "PY11417",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Weston, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 22, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.