Organization Active NPI

Dr. Sharon Peachey Marshall, PA

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Venice, FL
National Provider Identifier
1225455678
Registry record updated Mar 24, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X
License
8043 Issued in FL
Legal business name
DR. SHARON PEACHEY MARSHALL, PA
Practice address
871 Venetia Bay Blvd
Suite 360
Venice, FL 34285-8051
Phone
(941) 480-9000
Fax
(941) 480-9013
NPI assigned
Mar 24, 2014
Last updated
Mar 24, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 24, 2014

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

Authorized official

Name
Dr. Sharon Jean Peachey Marshall, PSYDNPI 1528398625
Title
President
Phone
(941) 480-9000

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X 8043 FL Primary

Addresses

Primary practice location

871 Venetia Bay Blvd
Suite 360
Venice, FL 34285-8051

Mailing address

871 Venetia Bay Blvd
Suite 360
Venice, FL 34285-8051
Phone (941) 480-9000

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20140804000140 FL Part B Supplier - Clinic/Group Practice 5890912588 Receives reassigned benefits from 1 practitioner
Practice locations: Venice, FL

National Provider Directory

National Provider Directory

Locations

871 Venetia Bay Blvd
Ste 360
Venice, FL 34285
Phone (941) 480-9000

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1395619200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1395619200000",
    "number": "1225455678",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "871 VENETIA BAY BLVD",
            "address_2": "SUITE 360",
            "city": "VENICE",
            "state": "FL",
            "postal_code": "342858051",
            "telephone_number": "941-480-9000",
            "fax_number": "941-480-9013"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "871 VENETIA BAY BLVD",
            "address_2": "SUITE 360",
            "city": "VENICE",
            "state": "FL",
            "postal_code": "342858051",
            "telephone_number": "941-480-9000",
            "fax_number": "941-480-9013"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR. SHARON PEACHEY MARSHALL, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-03-24",
        "last_updated": "2014-03-24",
        "status": "A",
        "authorized_official_last_name": "PEACHEY MARSHALL",
        "authorized_official_first_name": "SHARON",
        "authorized_official_middle_name": "JEAN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "941-480-9000",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PSYD"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": "FL",
            "license": "8043",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Venice, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 24, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.