Amy B Shefftz, PMHNP

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

License

21027 Issued in CA

Practice address

251 Llewellyn Ave
Campbell, CA 95008-1940

Phone

(916) 764-7059

NPI assigned

Jul 19, 2010

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

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.

• Pacific Clinics

  • Community/Behavioral Health Agency
  • Carnelian Bay, CA
  • NPI 1750905634
  NPD
• Mental Health Practitioners

  • Psychiatric/Mental Health Nurse Practitioner
  • Sonoma, CA
  • NPI 1609763341
  NPD (past)
• Pacific Clinics

  • Community/Behavioral Health Agency
  • Roseville, CA
  • NPI 1497158604
  NPD (past)
• Pacific Clinics

  • Community/Behavioral Health Agency
  • Fairfield, CA
  • NPI 1538221403
  NPD (past)
• Smith Psychiatry LLC

  • Psychiatric/Mental Health Nurse Practitioner
  • Phoenix, AZ
  • NPI 1023870763
  NPD (past)

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

{
    "created_epoch": "1279497600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1641859200000",
    "number": "1184937260",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1179",
            "city": "SODA SPRINGS",
            "state": "CA",
            "postal_code": "957281179",
            "telephone_number": "916-764-7059"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "251 LLEWELLYN AVE",
            "city": "CAMPBELL",
            "state": "CA",
            "postal_code": "950081940",
            "telephone_number": "916-764-7059"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1624 Santa Clara Dr Ste 145",
            "address_purpose": "LOCATION",
            "city": "Roseville",
            "state": "CA",
            "postal_code": "956613500",
            "country_code": "US",
            "telephone_number": "916-764-7059",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2420 Martin Rd Ste 200",
            "address_purpose": "LOCATION",
            "city": "Fairfield",
            "state": "CA",
            "postal_code": "945348610",
            "country_code": "US",
            "telephone_number": "916-764-7059",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "5225 N Lake Blvd",
            "address_purpose": "LOCATION",
            "city": "Carnelian Bay",
            "state": "CA",
            "postal_code": "961401958",
            "country_code": "US",
            "telephone_number": "617-417-2215",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SHEFFTZ",
        "first_name": "AMY",
        "middle_name": "B",
        "credential": "PMHNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-07-19",
        "last_updated": "2022-01-11",
        "certification_date": "2022-01-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "CA",
            "license": "742075",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "CA",
            "license": "21027",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CALIFORNIA BOARD OF REGISTERED NURSING",
            "identifier": "742075",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CALIFORNIA BOARD OF NURSING",
            "identifier": "21027",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Siobhan Louise Sharpey-Schafer
• Amanda Danielle Sharpton, ACSW
• Sally Ann Sharrock, MFT
• Ronni Nicole Shaw
• Shawn Teran, MD
• Miriam Sherif, PA-C
• Sherry Chiropractic Inc.
• Steven Kenneth Sherry, DC
• Dong-Youn Shin, D. D. S.
• Susan Mary Shirron

• Psychiatric/Mental Health Nurse Practitioner in Campbell, CA
• Providers in Campbell, CA by specialty
• Psychiatric/Mental Health Nurse Practitioner in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 11, 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.