Active NPI
Sherman Coplan Slone, PSY.D., ABPP
- Clinical Psychologist
- Pinellas Park, FL
National Provider Identifier
1255483699
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- PY3613
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Enrollment records 1
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
| License | State | Type | Specialty |
|---|---|---|---|
| PY3613 | FL | MD | Clinical Psychologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Orlando Health, Inc. | Current | Accepting new patients | |
| Emergent Care Psychologists PA | Clinical | Current | 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
- 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.
-
- Clinical Psychologist
- Pinellas Park, FL
- NPI 1770649238
-
- General Acute Care Hospital
- Orlando, FL
- NPI 1184709057
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
- 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.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.