Active NPI
Melanie N Gordon-Sheets, PH.D.
- Psychologist
- Big Spring, TX
National Provider Identifier
1477667889
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- License
- 25120
- Practice address
- 1901 Highway 87 N
Big Spring, TX 79720-0283 - Phone
- (432) 267-8216
- Fax
- (432) 268-7790
- NPI assigned
- Aug 19, 2006
- 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 |
|---|---|---|---|---|
| Psychologist | 103T00000X | 25120 | TX | Primary |
Addresses
Primary practice location
1901 Highway 87 N
Big Spring, TX 79720-0283
Mailing address
1901 N US Highway 87
Big Spring, TX 79720-0283
Phone (432) 267-8216
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| P081630P8 | Medicaid | TX |
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 |
|---|---|---|---|
| 25120 | TX | MD | Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1155945600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1288224000000",
"number": "1477667889",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1901 N US HIGHWAY 87",
"city": "BIG SPRING",
"state": "TX",
"postal_code": "797200283",
"telephone_number": "432-267-8216",
"fax_number": "432-268-7790"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1901 HIGHWAY 87 N",
"city": "BIG SPRING",
"state": "TX",
"postal_code": "797200283",
"telephone_number": "432-267-8216",
"fax_number": "432-268-7790"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GORDON-SHEETS",
"first_name": "MELANIE",
"middle_name": "N",
"credential": "PH.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-08-19",
"last_updated": "2010-10-28",
"status": "A"
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "TX",
"license": "25120",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "P081630P8",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}Other providers in Big Spring, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 28, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.