Active NPI
Carol A. Sheffield, PH.D.
- Psychologist
- Dallas, TX
National Provider Identifier
1154319515
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- License
- 2-2058
- Practice address
- 5923 Royal Lane
Dallas, TX 75230 - Phone
- (972) 841-0629
- Fax
- (972) 596-8823
- NPI assigned
- Oct 10, 2005
- 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 | 2-2058 | TX | Primary |
Addresses
Primary practice location
5923 Royal Lane
Dallas, TX 75230
Mailing address
P.O. Box 6164
Frisco, TX 75035
Phone (972) 841-0629
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0996613-01 | 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)
- Not enrolled
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2-2058 | TX | MD | Psychologist |
| 22058 | TX | MD | General Practice Dentistry |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1128902400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1314662400000",
"number": "1154319515",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "P.O. BOX 6164",
"city": "FRISCO",
"state": "TX",
"postal_code": "75035",
"telephone_number": "972-841-0629",
"fax_number": "972-596-8823"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5923 ROYAL LANE",
"city": "DALLAS",
"state": "TX",
"postal_code": "75230",
"telephone_number": "972-841-0629",
"fax_number": "972-596-8823"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SHEFFIELD",
"first_name": "CAROL",
"middle_name": "A.",
"name_prefix": "Dr.",
"credential": "PH.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2005-10-10",
"last_updated": "2011-08-30",
"status": "A"
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "TX",
"license": "2-2058",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0996613-01",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}Other providers in Dallas, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 30, 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.