Daniel Sheridan, PH.D.

Primary specialty

PsychologistTaxonomy code 103T00000X

Practice address

2730 SW 3Rd Ave.
Suite 202-O
Miami, FL 33129

Phone

(305) 929-3598

NPI assigned

Jul 10, 2018

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

Practice roles

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.

• Authentic Self Counseling Group, LLC

  dba Authentic Self Counseling and Testing

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Coral Gables, FL
  • NPI 1558918623
  NPD Authorized official

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

{
    "created_epoch": "1531180800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1557273600000",
    "number": "1275029548",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "300 GRANELLO AVE APT 561",
            "city": "CORAL GABLES",
            "state": "FL",
            "postal_code": "331461945"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2730 SW 3RD AVE.",
            "address_2": "SUITE 202-O",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "33129",
            "telephone_number": "305-929-3598"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHERIDAN",
        "first_name": "DANIEL",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2018-07-10",
        "last_updated": "2019-05-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sheridan Radiology Services of Pinellas, Inc. (DBA Pinellas Radiology Associates)
• Sheridan Radiology Services of South Florida, Inc.
• Sheridan Radiology Services of South Florida, Inc.
• Sheridan Radiology Services of Virginia, Inc
• Sheridan Radiology Services of Virginia, Inc
• Ellen Arla Sheridan, LMHC
• John Sheridan, APRN, PMHNP-BC
• Lucia Fernanda Sheridan
• Martrease Shunneak Sheriff
• Jonathan Edward Sherin, M.D. PH.D.

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 8, 2019; 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.