Cheryl Sorensen Bupp, PH.D.

Primary specialty

PsychologistTaxonomy code 103T00000X

License

PY7314 Issued in FL

Practice address

1712 Old Summerwood Blvd
Sarasota, FL 34232-2939

Phone

(941) 341-0933

NPI assigned

Jun 6, 2007

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Philosophy

State licenses

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

{
    "created_epoch": "1181088000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1245433440",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1712 OLD SUMMERWOOD BLVD",
            "city": "SARASOTA",
            "state": "FL",
            "postal_code": "342322939",
            "telephone_number": "941-341-0933"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1712 OLD SUMMERWOOD BLVD",
            "city": "SARASOTA",
            "state": "FL",
            "postal_code": "342322939",
            "telephone_number": "941-341-0933"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BUPP",
        "first_name": "CHERYL",
        "middle_name": "SORENSEN",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-06-06",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "FL",
            "license": "PY7314",
            "primary": true
        },
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "GA",
            "license": "PSY002526",
            "primary": false
        },
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "UT",
            "license": "112930-2501",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Philippe Bui, PHARMD
• Jennifer Buitrago, CRNA
• Jenny Bulat, APRN
• Sarena Bumbarger, PHARMD
• Vickie B. Bundy, LMHC
• Theodore Michael Burbo
• Cassandra Lynne Burdge
• Elena Z Burdman, APRN
• Claudia Maria Burga, APRN
• Alexander T Burgdorf, OTD, OTR/L

• Psychologist in Sarasota, FL
• Providers in Sarasota, FL by specialty
• Psychologist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.