Individual provider Active NPI

Sharon Lyn Silver-Regent, PH.D

  • Clinical Psychologist
  • New York, NY
National Provider Identifier
1487927943
Registry record updated Feb 14, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
012113-1 Issued in NY
Practice address
370 E 76TH St
Suite A1602
New York, NY 10021-2547
Phone
(212) 628-6964
Fax
(866) 341-5918
NPI assigned
Feb 14, 2012
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 14, 2012

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X 012113-1 NY Primary

Addresses

Primary practice location

370 E 76TH St
Suite A1602
New York, NY 10021-2547

Mailing address

370 E 76TH St
Suite A1602
New York, NY 10021-2547
Phone (212) 628-6964

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

State licenses

LicenseStateTypeSpecialty
012113-1NYMDSpeech-Language Pathologist

NPI Registry JSON

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

{
    "created_epoch": "1329177600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1329177600000",
    "number": "1487927943",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "370 E 76TH ST",
            "address_2": "SUITE A1602",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100212547",
            "telephone_number": "212-628-6964",
            "fax_number": "866-341-5918"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "370 E 76TH ST",
            "address_2": "SUITE A1602",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100212547",
            "telephone_number": "212-628-6964",
            "fax_number": "866-341-5918"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SILVER-REGENT",
        "first_name": "SHARON",
        "middle_name": "LYN",
        "name_prefix": "Dr.",
        "credential": "PH.D",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-02-14",
        "last_updated": "2012-02-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "NY",
            "license": "012113-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 14, 2012; 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.