Active NPI
Peter L. Sheras, PH.D.
- Clinical Psychologist
- Charlottesville, VA
National Provider Identifier
1487737383
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- 0810000722
- Practice address
- 100 E South St
Suite 5
Charlottesville, VA 22902-5215 - Phone
- (434) 971-4747
- Fax
- (434) 293-4690
- NPI assigned
- Oct 23, 2006
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | 0810000722 | VA | Primary |
Addresses
Primary practice location
100 E South St
Suite 5
Charlottesville, VA 22902-5215
Mailing address
100 E South St
Suite 5
Charlottesville, VA 22902-5215
Phone (434) 971-4747
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 77-5401-9 | Medicaid | VA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in VA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20130821000017 | VA | Practitioner - Clinical Psychologist | 0345268124 | Practice locations: Charlottesville, VA |
Care Compare profile
Medicare Care Compare- Specialty
- Clinical Psychologist
- Education
- Other, 1973
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
Practice addresses (Care Compare)
100 E S St
Suite 5
Charlottesville, VA 22902
Phone 4349714747110
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0810000722 | VA | MD | Clinical Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1161561600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1365638400000",
"number": "1487737383",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "100 E SOUTH ST",
"address_2": "SUITE 5",
"city": "CHARLOTTESVILLE",
"state": "VA",
"postal_code": "229025215",
"telephone_number": "434-971-4747",
"fax_number": "434-293-4690"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "100 E SOUTH ST",
"address_2": "SUITE 5",
"city": "CHARLOTTESVILLE",
"state": "VA",
"postal_code": "229025215",
"telephone_number": "434-971-4747",
"fax_number": "434-293-4690"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SHERAS",
"first_name": "PETER",
"middle_name": "L.",
"name_prefix": "Dr.",
"credential": "PH.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-10-23",
"last_updated": "2013-04-11",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "VA",
"license": "0810000722",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "77-5401-9",
"state": "VA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Charlottesville, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 11, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.