Sheila Jane McCarthy

Primary specialty

Pediatric Occupational TherapistTaxonomy code 225XP0200X

License

OT3509 Issued in CA

Practice address

15850 Dam Road Ext
Clearlake, CA 95422-9359

Phone

(707) 995-1596

NPI assigned

Apr 23, 2019

Sex

Female

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)

Not enrolled

State licenses

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

{
    "created_epoch": "1555977600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1555977600000",
    "number": "1366006595",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2386 HILLTOP DR",
            "city": "WILLITS",
            "state": "CA",
            "postal_code": "954907727",
            "telephone_number": "707-696-7649"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15850 DAM ROAD EXT",
            "city": "CLEARLAKE",
            "state": "CA",
            "postal_code": "954229359",
            "telephone_number": "707-995-1596"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCCARTHY",
        "first_name": "SHEILA",
        "middle_name": "JANE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-04-23",
        "last_updated": "2019-04-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225XP0200X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Occupational Therapist, Pediatrics",
            "state": "CA",
            "license": "OT3509",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Marc R Shapiro Medical Corp
• Mark Freeman, MD
• Gail Marquette, FNP
• Brian James Marrier, BCAB
• Teresa Massingill
• Alvin McCormick
• Jason Davis McCraw, D.C.
• Glenna Rae McGirr, LPT
• Michael L. McKeown
• Jean M McNally, LCSW

• Pediatric Occupational Therapist in Clearlake, CA
• Providers in Clearlake, CA by specialty
• Pediatric Occupational Therapist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 23, 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.