Individual provider Active NPI

Sherry Ann Tankersley, PHD

  • Psychologist
  • Poughkeepsie, NY
National Provider Identifier
1588087043
Registry record updated Sep 15, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
021029 Issued in NY
Practice address
10 Ross Cir
Poughkeepsie, NY 12601-1078
Phone
(845) 335-4600
NPI assigned
Feb 3, 2014
Last updated
Sep 15, 2015By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 15, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychologist 103T00000X 021029 NY Primary

Addresses

Primary practice location

10 Ross Cir
Poughkeepsie, NY 12601-1078

Mailing address

10 Ross Cir
Poughkeepsie, NY 12601-1078
Phone (845) 483-3814

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
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
I20151007001291 NY Practitioner - Clinical Psychologist 7416265624 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

6565 Spring Brook Ave
Suite 5
Rhinebeck, NY 12572-3726
Phone (845) 516-4364

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
021029NYMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Connecting the Dots Hudson Valley Youth & Family Services Inc. CurrentSince Jul 20, 2026 Accepting new patients
Kelly E Bunt LCSW PC CurrentSince Jul 1, 2024 Accepting new patients
Grunblatt Psychology and Counseling Offices, P.C. CurrentSince Aug 1, 2015 Accepting new patients
Integral Psychology Circle, P.C. CurrentSince Jul 4, 2020 Accepting new patients

Locations

124 Green St
Kingston, NY 12401
Phone (845) 331-3001

21 Davis Ave
Stop 2
Poughkeepsie, NY 12603
Phone (845) 867-4926

80 Washington St
Ste 305
Poughkeepsie, NY 12601
Phone (845) 867-4926

6565 Spring Brook Ave
Ste 5
Rhinebeck, NY 12572
Phone (845) 516-4364

Organizations & group practices 4

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": "1391385600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1442275200000",
    "number": "1588087043",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10 ROSS CIR",
            "city": "POUGHKEEPSIE",
            "state": "NY",
            "postal_code": "126011078",
            "telephone_number": "845-483-3814"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10 ROSS CIR",
            "city": "POUGHKEEPSIE",
            "state": "NY",
            "postal_code": "126011078",
            "telephone_number": "845-335-4600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TANKERSLEY",
        "first_name": "SHERRY",
        "middle_name": "ANN",
        "credential": "PHD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-02-03",
        "last_updated": "2015-09-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "NY",
            "license": "021029",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Poughkeepsie, NY

Sources for this page

Verify at the official NPI Registry.