Active NPI
Avraham Sharfman, PSYD
- Clinical Psychologist
- Munster, IN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- 200405508A
- Practice address
- 7550 Hohman Ave
Ste 1200a
Munster, IN 46321-1060 - Phone
- (616) 532-8000
- Fax
- (616) 532-7230
- NPI assigned
- Sep 19, 2005
- Last updated
- Jul 25, 2011
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | 200405508A | IN | Primary |
Addresses
Primary practice location
7550 Hohman Ave
Ste 1200a
Munster, IN 46321-1060
Mailing address
PO Box 2007
Grand Rapids, MI 49501-2007
Phone (616) 532-8000
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 100165290 | Medicaid | IN | |
| 90000854 | Other | IL | BCBSIL |
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 200405508A | IN | MD | Clinical Psychologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| St Margaret Mercy Healthcare Centers | Past | Accepting new patients | |
| St Margaret Mercy Healthcare Centers | Clinical | Past | Accepting new patients |
| St Margaret Mercy Healthcare Centers | Past | Accepting new patients | |
| Franciscan Health Dyer & Hammond | Past | Accepting new patients | |
| St Margaret Mercy Healthcare Centers | Clinical | Past | Accepting new patients |
Organizations & group practices 5
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.
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Clinical
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Clinical
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NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1127088000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1311552000000",
"number": "1154316966",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 2007",
"city": "GRAND RAPIDS",
"state": "MI",
"postal_code": "495012007",
"telephone_number": "616-532-8000",
"fax_number": "616-532-7230"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7550 HOHMAN AVE",
"address_2": "STE 1200A",
"city": "MUNSTER",
"state": "IN",
"postal_code": "463211060",
"telephone_number": "616-532-8000",
"fax_number": "616-532-7230"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SHARFMAN",
"first_name": "AVRAHAM",
"credential": "PSYD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-09-19",
"last_updated": "2011-07-25",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "IN",
"license": "200405508A",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "100165290",
"state": "IN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBSIL",
"identifier": "90000854",
"state": "IL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Munster, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 25, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.