Sheri A. Bellow, ED.D.
Individual provider Active NPI Psychologist · Crofton, MD
NPI 1346355245 · NPPES record last updated Jul 8, 2007
Key facts
- NPI
- 1346355245
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Psychologist 103T00000X
- License
- 01854 (MD)
- Practice address
- 1668 Village GRN
Crofton, MD 21114-2014 - Phone
- (410) 721-1552
- NPI assigned
- Aug 20, 2006
- Sex
- Female
- Sole proprietor
- Yes
Medicare Care Compare profile
- Specialty
- Clinical Psychologist
- Education
- George Washington University School of Medicine, 1983
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
Practice addresses (Care Compare)
1668 Village GRN
Crofton, MD 21114-2014
Phone (410) 721-1552
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in MD
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: No · Power mobility devices: No · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20101108000271 | MD | Practitioner - Clinical Psychologist | 4587859350 | Practice locations: Crofton, MD |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 01854 | MD | MD | Psychologist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychologist | 103T00000X | 01854 | MD | Yes |
Addresses
Primary practice location
1668 Village GRN
Crofton, MD 21114-2014
Mailing address
1668 Village GRN
Crofton, MD 21114-2014
Phone (410) 721-1552
NPI Registry JSON
{
"created_epoch": "1156032000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1346355245",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1668 VILLAGE GRN",
"city": "CROFTON",
"state": "MD",
"postal_code": "211142014",
"telephone_number": "410-721-1552"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1668 VILLAGE GRN",
"city": "CROFTON",
"state": "MD",
"postal_code": "211142014",
"telephone_number": "410-721-1552"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BELLOW",
"first_name": "SHERI",
"middle_name": "A.",
"name_prefix": "Dr.",
"credential": "ED.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-08-20",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "MD",
"license": "01854",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Crofton, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 8, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.