Organization Active NPI

Joseph Cheries Psy D PL

  • Clinical Psychologist
  • Sebastian, FL
National Provider Identifier
1285769232
Registry record updated Oct 9, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
PY7389 Issued in FL
Legal business name
JOSEPH CHERIES PSY D PL
Practice address
1515 US Highway 1
Suite 201
Sebastian, FL 32958-1612
Phone
(772) 589-7680
Fax
(772) 589-9294
NPI assigned
Feb 22, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 9, 2007

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

Authorized official

Name
Dr. Joseph Edward Cheries, PSY.D.
Title
Managing Member
Phone
(772) 589-7680

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical PsychologistGroup: 193400000X SINGLE SPECIALTY GROUP 103TC0700X PY7389 FL Primary

Addresses

Primary practice location

1515 US Highway 1
Suite 201
Sebastian, FL 32958-1612

Mailing address

1515 US Highway 1
Suite 201
Sebastian, FL 32958-1612
Phone (772) 589-7680

Other identifiers 1

IdentifierTypeStateIssuer
90150OtherFLBLUE CROSS

National Provider Directory

National Provider Directory

Locations

1515 US Highway 1
Ste 201
Sebastian, FL 32958
Phone (772) 589-7680

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1172102400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1191888000000",
    "number": "1285769232",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1515 US HIGHWAY 1",
            "address_2": "SUITE 201",
            "city": "SEBASTIAN",
            "state": "FL",
            "postal_code": "329581612",
            "telephone_number": "772-589-7680",
            "fax_number": "772-589-9294"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1515 US HIGHWAY 1",
            "address_2": "SUITE 201",
            "city": "SEBASTIAN",
            "state": "FL",
            "postal_code": "329581612",
            "telephone_number": "772-589-7680",
            "fax_number": "772-589-9294"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOSEPH CHERIES PSY D PL",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-22",
        "last_updated": "2007-10-09",
        "status": "A",
        "authorized_official_last_name": "CHERIES",
        "authorized_official_first_name": "JOSEPH",
        "authorized_official_middle_name": "EDWARD",
        "authorized_official_title_or_position": "MANAGING MEMBER",
        "authorized_official_telephone_number": "772-589-7680",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PSY.D."
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist, Clinical",
            "state": "FL",
            "license": "PY7389",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS",
            "identifier": "90150",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Sebastian, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 9, 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.