Individual provider Active NPI

Thomas H Sheriff, PHD

  • Psychologist
  • Corsicana, TX
National Provider Identifier
1144299819
Registry record updated Jul 26, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
21340 Issued in TX
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, 2012By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 26, 2012

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
680010984OtherTXMEDICARE RAILROAD
032148101MedicaidTX

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

LicenseStateTypeSpecialty
21340TXMDPsychologist

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.

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

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.

Verify at the official NPI Registry.