Individual provider Active NPI

Sherman Coplan Slone, PSY.D., ABPP

  • Clinical Psychologist
  • Pinellas Park, FL
National Provider Identifier
1255483699
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
PY3613 Issued in FL
Practice address
5046 73Rd Ave
Pinellas Park, FL 33781-4350
Phone
(727) 541-5436
Fax
(727) 541-5484
NPI assigned
Jan 17, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X PY3613 FL Primary

Addresses

Primary practice location

5046 73Rd Ave
Pinellas Park, FL 33781-4350

Mailing address

5046 73Rd Ave
Pinellas Park, FL 33781-4350
Phone (727) 541-5436

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
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
I20111130000101 FL Practitioner - Clinical Psychologist 1456344571 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 1981
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

2505 W Virginia Ave
Tampa, FL 33607-6325
Phone (727) 289-9401

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PY3613FLMDClinical Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Orlando Health, Inc. Current Accepting new patients
Emergent Care Psychologists PA Clinical CurrentSince Aug 1, 1999 Accepting new patients

Locations

5046 73rd Ave N
Pinellas Park, FL 33781
Phone (727) 541-5436

2505 W Virginia Ave
Tampa, FL 33607
Phone (727) 289-9401

Interoperability endpoints

  • Direct secure messaging: sslone189384@orlandohealth.medalliesdirect.net

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": "1168992000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1255483699",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5046 73RD AVE",
            "city": "PINELLAS PARK",
            "state": "FL",
            "postal_code": "337814350",
            "telephone_number": "727-541-5436",
            "fax_number": "727-541-5484"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5046 73RD AVE",
            "city": "PINELLAS PARK",
            "state": "FL",
            "postal_code": "337814350",
            "telephone_number": "727-541-5436",
            "fax_number": "727-541-5484"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SLONE",
        "first_name": "SHERMAN",
        "middle_name": "COPLAN",
        "name_prefix": "Dr.",
        "credential": "PSY.D., ABPP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-01-17",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "FL",
            "license": "PY3613",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pinellas Park, FL

Sources for this page

Verify at the official NPI Registry.