Individual provider Active NPI

Sheryl Sue Tatelman, PHD

  • Psychologist
  • Pittsford, NY
National Provider Identifier
1528150752
Registry record updated Apr 21, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
0140321 Issued in NY
Practice address
1151 Pittsford Victor Rd
Suite 120
Pittsford, NY 14534-3800
Phone
(585) 586-6390
Fax
(585) 586-6390
NPI assigned
Sep 28, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 21, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychologist 103T00000X 0140321 NY Primary

Addresses

Primary practice location

1151 Pittsford Victor Rd
Suite 120
Pittsford, NY 14534-3800

Mailing address

1151 Pittsford Victor Rd
Suite 120
Pittsford, NY 14534-3800
Phone (585) 586-6390

Other identifiers 4

IdentifierTypeStateIssuer
111863F6OtherNYPREFERRED CARE
P030014032OtherNYBLUE CROSS BLUE SHIELD
7336356OtherNYAETNA
P010014032OtherNYBLUE CHOICE

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

LicenseStateTypeSpecialty
0140321NYMDPsychologist
14032NYMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Rochester Psychological Associates PLLC Psychologist PastSince Sep 11, 2018 Accepting new patients
Kathleen S. Lewandowski Psychological Services, P.C. PastSince Aug 4, 2008 Accepting new patients

Organizations & group practices 2

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": "1159401600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1240272000000",
    "number": "1528150752",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1151 PITTSFORD VICTOR RD",
            "address_2": "SUITE 120",
            "city": "PITTSFORD",
            "state": "NY",
            "postal_code": "145343800",
            "telephone_number": "585-586-6390",
            "fax_number": "585-586-6390"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1151 PITTSFORD VICTOR RD",
            "address_2": "SUITE 120",
            "city": "PITTSFORD",
            "state": "NY",
            "postal_code": "145343800",
            "telephone_number": "585-586-6390",
            "fax_number": "585-586-6390"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TATELMAN",
        "first_name": "SHERYL",
        "middle_name": "SUE",
        "name_prefix": "Dr.",
        "credential": "PHD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-09-28",
        "last_updated": "2009-04-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "NY",
            "license": "0140321",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PREFERRED CARE",
            "identifier": "111863F6",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "P030014032",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "7336356",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CHOICE",
            "identifier": "P010014032",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Pittsford, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 21, 2009; 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.