Active NPI
Thomas H Sheriff, PHD
- Psychologist
- Corsicana, TX
National Provider Identifier
1144299819
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- License
- 21340
- Practice address
- 200 N 13TH St
Ste 201
Corsicana, TX 75110-4618 - Phone
- (903) 874-4656
- Fax
- (903) 874-4666
- NPI assigned
- Mar 15, 2006
- Last updated
- Jul 26, 2012
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychologist | 103T00000X | 21340 | TX | Primary |
| Health Service Psychologist | 103TH0100X | 21340 | TX | |
| Rehabilitation Psychologist | 103TR0400X | 21340 | TX |
Addresses
Primary practice location
200 N 13TH St
Ste 201
Corsicana, TX 75110-4618
Mailing address
PO Box 14
Corsicana, TX 75151-0014
Phone (903) 874-4656
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 680010984 | Other | TX | MEDICARE RAILROAD |
| 032148101 | Medicaid | TX |
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 |
|---|---|---|---|
| 21340 | TX | MD | Psychologist |
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Psychologist
- Corsicana, TX
- NPI 1861461501
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1142380800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1343260800000",
"number": "1144299819",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 14",
"city": "CORSICANA",
"state": "TX",
"postal_code": "751510014",
"telephone_number": "903-874-4656",
"fax_number": "903-874-4666"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "200 N 13TH ST",
"address_2": "STE 201",
"city": "CORSICANA",
"state": "TX",
"postal_code": "751104618",
"telephone_number": "903-874-4656",
"fax_number": "903-874-4666"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SHERIFF",
"first_name": "THOMAS",
"middle_name": "H",
"name_prefix": "Mr.",
"credential": "PHD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-03-15",
"last_updated": "2012-07-26",
"status": "A"
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "TX",
"license": "21340",
"primary": true
},
{
"code": "103TH0100X",
"taxonomy_group": "",
"desc": "Psychologist, Health Service",
"state": "TX",
"license": "21340",
"primary": false
},
{
"code": "103TR0400X",
"taxonomy_group": "",
"desc": "Psychologist, Rehabilitation",
"state": "TX",
"license": "21340",
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE RAILROAD",
"identifier": "680010984",
"state": "TX"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "032148101",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Corsicana, TX
- Shamrock Care Center, Inc. (Heritage Oaks West Retirement Village)
- Grady C Shaw, MD
- Jimmie Jo Shelton, OTA
- Shepherd's Touch Ministries, Inc (Home Helpers/Direct Link)
- Constance Pugh Sheriff, OTR
- Ashruff James B Shihab, BC-HIS
- Tammy Eudora Shonuga, RPH
- Christi Shortes
- Terri Jo Sikes, PTA
- Simply Medical Healthcare PLLC (Simply Medical HealthCare)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 26, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.