Individual provider Active NPI

Sharon Sedik

  • Psychiatric/Mental Health Nurse Practitioner
  • Agawam, MA
National Provider Identifier
1508358391
Registry record updated Jun 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
MS1158713N Issued in MA
Practice address
29 Riverview Ave
Agawam, MA 01001-2517
Phone
(413) 389-0869
NPI assigned
Jun 6, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 13, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X MS1158713N MA Primary

Addresses

Primary practice location

29 Riverview Ave
Agawam, MA 01001-2517

Mailing address

29 Riverview Ave
Agawam, MA 01001-2517
Phone (413) 389-0869

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20180919000525 MA Practitioner - Nurse Practitioner 5597016261 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
SB Transitional Sub LLCGroup PAC ID 7911315379, 70 clinicians

Practice addresses (Care Compare)

140 High St
Suite 230
Springfield, MA 01199-1006
Phone (508) 521-2200

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2017031079CTMDBehavioral Neurology & Neuropsychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
SB Transitional Sub, LLC CurrentSince May 17, 2021 Accepting new patients

Locations

1115 W Chestnut St
Ste 202
Brockton, MA 02301
Phone (508) 824-1355

103 Commercial St
Ste 2
Brockton, MA 02302

140 High St
Ste 230
Springfield, MA 01199
Phone (413) 495-1500

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1528243200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1781308800000",
    "number": "1508358391",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "29 RIVERVIEW AVE",
            "city": "AGAWAM",
            "state": "MA",
            "postal_code": "010012517",
            "telephone_number": "413-389-0869"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "29 RIVERVIEW AVE",
            "city": "AGAWAM",
            "state": "MA",
            "postal_code": "010012517",
            "telephone_number": "413-389-0869"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SEDIK",
        "first_name": "SHARON",
        "name_prefix": "Miss",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-06-06",
        "last_updated": "2026-06-13",
        "certification_date": "2026-06-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "MA",
            "license": "MS1158713N",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Agawam, MA

Sources for this page

Verify at the official NPI Registry.