Individual provider Active NPI

Julia L Sheffler, PH.D.

  • Clinical Psychologist
  • Tallahassee, FL
National Provider Identifier
1497365399
Registry record updated Aug 21, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
PY10819 Issued in FL
Practice address
1126B Lee Ave
Tallahassee, FL 32303-6508
Phone
(850) 644-6543
NPI assigned
Aug 5, 2020
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 21, 2024

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 PY10819 FL Primary

Addresses

Primary practice location

1126B Lee Ave
Tallahassee, FL 32303-6508

Mailing address

1516 Valley Rd
Tallahassee, FL 32301-2736
Phone (618) 203-3119

Other practice location 1

2507 Callaway Rd Ste 101
Tallahassee, FL 32303-5268
Phone (850) 644-6543

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20200902000068 FL Practitioner - Clinical Psychologist 6800213125 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Philosophy

Practice roles

OrganizationSpecialtyStatusNew patients
Florida Medical Practice Plan Inc CurrentSince Nov 14, 2024 Accepting new patients

Locations

4449 Meandering Way
Tallahassee, FL 32308
Phone (850) 201-0956

2507 Callaway Rd
Ste 101
Tallahassee, FL 32303
Phone (850) 644-6543

Interoperability endpoints

  • Direct secure messaging: julia.sheffler.1@19268.direct.athenahealth.com

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.

NPI Registry JSON

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

{
    "created_epoch": "1596585600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1724198400000",
    "number": "1497365399",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1516 VALLEY RD",
            "city": "TALLAHASSEE",
            "state": "FL",
            "postal_code": "323012736",
            "telephone_number": "618-203-3119"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1126B LEE AVE",
            "city": "TALLAHASSEE",
            "state": "FL",
            "postal_code": "323036508",
            "telephone_number": "850-644-6543"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2507 Callaway Rd Ste 101",
            "address_purpose": "LOCATION",
            "city": "Tallahassee",
            "state": "FL",
            "postal_code": "323035268",
            "country_code": "US",
            "telephone_number": "850-644-6543",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SHEFFLER",
        "first_name": "JULIA",
        "middle_name": "L",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-08-05",
        "last_updated": "2024-08-21",
        "certification_date": "2024-08-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "FL",
            "license": "PY10819",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tallahassee, FL

Sources for this page

Verify at the official NPI Registry.