Individual provider Active NPI

Lolita Angelique Sherman-Coyle, PSY D.

  • Intellectual & Developmental Disabilities Psychologist
  • Staten Island, NY
National Provider Identifier
1225482227
Registry record updated Apr 17, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Intellectual & Developmental Disabilities PsychologistTaxonomy code 103TM1800X
Practice address
165 Saint Marks PL Apt 8M
8M
Staten Island, NY 10301-1650
Phone
(347) 466-4843
NPI assigned
Apr 16, 2016
Last updated
Apr 17, 2016By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 17, 2016

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Intellectual & Developmental Disabilities Psychologist 103TM1800X NU Primary
Nutrition Education Nutritionist 133NN1002X NU
Peer Specialist 175T00000X NU

Addresses

Primary practice location

165 Saint Marks PL Apt 8M
8M
Staten Island, NY 10301-1650

Mailing address

165 Saint Marks PL Apt 8M
8M
Staten Island, NY 10301-1650
Phone (347) 466-4843

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

NPI Registry JSON

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

{
    "created_epoch": "1460764800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1460851200000",
    "number": "1225482227",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "165 SAINT MARKS PL APT 8M",
            "address_2": "8M",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "103011650",
            "telephone_number": "347-466-4843"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "165 SAINT MARKS PL APT 8M",
            "address_2": "8M",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "103011650",
            "telephone_number": "347-466-4843"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHERMAN-COYLE",
        "first_name": "LOLITA",
        "middle_name": "ANGELIQUE",
        "name_prefix": "Prof.",
        "credential": "PSY D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-04-16",
        "last_updated": "2016-04-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TM1800X",
            "taxonomy_group": "",
            "desc": "Psychologist, Intellectual & Developmental Disabilities",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "133NN1002X",
            "taxonomy_group": "",
            "desc": "Nutritionist, Nutrition, Education",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "175T00000X",
            "taxonomy_group": "",
            "desc": "Peer Specialist",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Staten Island, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 17, 2016; 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.