Individual provider Active NPI

Valeriya Y Sharova, M.D.

  • Psychiatry Physician
  • West Palm Beach, FL
National Provider Identifier
1528238482
Registry record updated May 24, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
11273 Issued in FL
Practice address
2201 45TH St
West Palm Beach, FL 33407-2047
Phone
(561) 964-7511
Fax
(561) 964-7544
NPI assigned
Mar 6, 2008
Last updated
May 24, 2013By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 24, 2013

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X 11273 FL Primary
Child & Adolescent Psychiatry Physician 2084P0804X ME112328 FL

Addresses

Primary practice location

2201 45TH St
West Palm Beach, FL 33407-2047

Mailing address

5503 S Congress Ave
Suite 205
Atlantis, FL 33462-6625
Phone (561) 964-7511

Other identifiers 1

IdentifierTypeStateIssuer
007141700MedicaidFL

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 Medicine

State licenses

LicenseStateTypeSpecialty
11273FLMDPsychiatry Physician
ME112328FLMDChild & Adolescent Psychiatry Physician

NPI Registry JSON

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

{
    "created_epoch": "1204761600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1369353600000",
    "number": "1528238482",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5503 S CONGRESS AVE",
            "address_2": "SUITE 205",
            "city": "ATLANTIS",
            "state": "FL",
            "postal_code": "334626625",
            "telephone_number": "561-964-7511",
            "fax_number": "561-964-7544"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2201 45TH ST",
            "city": "WEST PALM BEACH",
            "state": "FL",
            "postal_code": "334072047",
            "telephone_number": "561-964-7511",
            "fax_number": "561-964-7544"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHAROVA",
        "first_name": "VALERIYA",
        "middle_name": "Y",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-03-06",
        "last_updated": "2013-05-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "FL",
            "license": "11273",
            "primary": true
        },
        {
            "code": "2084P0804X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Child & Adolescent Psychiatry",
            "state": "FL",
            "license": "ME112328",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "007141700",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in West Palm Beach, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 24, 2013; 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.