Active NPI
Deidre V Sharp, PHD
- Counseling Psychologist
- Cordova, TN
National Provider Identifier
1417578220
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Counseling Psychologist
- License
- 2579
- Practice address
- 8142 Country Village Dr
Cordova, TN 38016-2029 - Phone
- (901) 337-1515
- NPI assigned
- May 3, 2020
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Counseling Psychologist | 103TC1900X | 2579 | TN | Primary |
Addresses
Primary practice location
8142 Country Village Dr
Cordova, TN 38016-2029
Mailing address
179 Ivy Brook LN
Collierville, TN 38017-8793
Phone (901) 337-1515
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)
- Not enrolled
- Credentials
- Doctor of Philosophy
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1588464000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1588464000000",
"number": "1417578220",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "179 IVY BROOK LN",
"city": "COLLIERVILLE",
"state": "TN",
"postal_code": "380178793",
"telephone_number": "901-337-1515"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8142 COUNTRY VILLAGE DR",
"city": "CORDOVA",
"state": "TN",
"postal_code": "380162029",
"telephone_number": "901-337-1515"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SHARP",
"first_name": "DEIDRE",
"middle_name": "V",
"name_prefix": "Dr.",
"credential": "PHD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2020-05-03",
"last_updated": "2020-05-03",
"certification_date": "2020-05-03",
"status": "A"
},
"taxonomies": [
{
"code": "103TC1900X",
"taxonomy_group": "",
"desc": "Psychologist, Counseling",
"state": "TN",
"license": "2579",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Cordova, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 3, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.