Individual provider Active NPI

Ambreen Joy Sheikh, ED.D.

  • Counseling Psychologist
  • Wake Forest, NC
National Provider Identifier
1245323237
Registry record updated Jan 30, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Counseling PsychologistTaxonomy code 103TC1900X
License
3003 Issued in NC
Practice address
1906 S Main St
Suite 120
Wake Forest, NC 27587-5032
Phone
(919) 562-1080
Fax
(919) 570-3243
NPI assigned
Oct 2, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 30, 2012

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Counseling Psychologist 103TC1900X 3003 NC Primary
Counseling Psychologist 103TC1900X 35SI00408900 NJ

Addresses

Primary practice location

1906 S Main St
Suite 120
Wake Forest, NC 27587-5032

Mailing address

1906 S Main St
Suite 120
Wake Forest, NC 27587-5032
Phone (919) 562-1080

Other identifiers 1

IdentifierTypeStateIssuer
6000473MedicaidNC

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20041004000997 NC Practitioner - Clinical Psychologist 5193627370 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

1906 S Main St
Suite 120
Wake Forest, NC 27587-5033
Phone (919) 562-1080

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
3003NCMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Wake County Psychological Services, Inc. Counseling CurrentSince Jan 1, 2005 Accepting new patients
Guardian Eldercare PC Past Accepting new patients

Locations

1906 S Main St
Ste 120
Wake Forest, NC 27587
Phone (919) 562-1080

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1159747200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1327881600000",
    "number": "1245323237",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1906 S MAIN ST",
            "address_2": "SUITE 120",
            "city": "WAKE FOREST",
            "state": "NC",
            "postal_code": "275875032",
            "telephone_number": "919-562-1080",
            "fax_number": "919-570-3243"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1906 S MAIN ST",
            "address_2": "SUITE 120",
            "city": "WAKE FOREST",
            "state": "NC",
            "postal_code": "275875032",
            "telephone_number": "919-562-1080",
            "fax_number": "919-570-3243"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHEIKH",
        "first_name": "AMBREEN",
        "middle_name": "JOY",
        "name_prefix": "Dr.",
        "credential": "ED.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-02",
        "last_updated": "2012-01-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC1900X",
            "taxonomy_group": "",
            "desc": "Psychologist, Counseling",
            "state": "NC",
            "license": "3003",
            "primary": true
        },
        {
            "code": "103TC1900X",
            "taxonomy_group": "",
            "desc": "Psychologist, Counseling",
            "state": "NJ",
            "license": "35SI00408900",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "6000473",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Wake Forest, NC

Sources for this page

Verify at the official NPI Registry.