Active NPI
Jacqueline Belle Sherman, PHD
- Clinical Psychologist
- Lewistown, MT
National Provider Identifier
1366580144
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- 335
- Practice address
- 207 W Main St
Suite 3
Lewistown, MT 59457-2718 - Phone
- (406) 350-1807
- Fax
- (406) 535-6450
- NPI assigned
- Feb 2, 2007
- Sex
- Female
- 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 | 335 | MT | Primary |
Addresses
Primary practice location
207 W Main St
Suite 3
Lewistown, MT 59457-2718
Mailing address
207 W Main St
Suite 3
Lewistown, MT 59457-2718
Phone (406) 350-1807
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0491402 | Medicaid | MT | |
| 52371 | Other | MT | BLUE CROSS BLUE SHIELD OF |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 335 | MT | MD | Audiologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| South Central Montana Regional Mental Health Center | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Clinic/Center
- Billings, MT
- NPI 1891781787
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1170374400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1309219200000",
"number": "1366580144",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "207 W MAIN ST",
"address_2": "SUITE 3",
"city": "LEWISTOWN",
"state": "MT",
"postal_code": "594572718",
"telephone_number": "406-350-1807",
"fax_number": "406-535-6450"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "207 W MAIN ST",
"address_2": "SUITE 3",
"city": "LEWISTOWN",
"state": "MT",
"postal_code": "594572718",
"telephone_number": "406-350-1807",
"fax_number": "406-535-6450"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SHERMAN",
"first_name": "JACQUELINE",
"middle_name": "BELLE",
"name_prefix": "Dr.",
"credential": "PHD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-02-02",
"last_updated": "2011-06-28",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "MT",
"license": "335",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0491402",
"state": "MT"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHIELD OF",
"identifier": "52371",
"state": "MT"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Lewistown, MT
- Kimberly Ann Schaaf, DO
- Jada Scheffelmaer
- SCL Health Medical Group - Billings LLC (Lewistown Clinic - Family Medicine)
- James Ben Scott, DDS PC
- Seiden Drug Company Inc.
- Shopko Stores Operating Co LLC (Shopko Pharmacy 773)
- Benjamin William Simpson, M.D.
- Skyview Medical, P.C.
- Gardner Scott Smith, MD
- Tyson Courtney Smith, DDS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 28, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.