Sheridan Brooke Lara, EDS,MA,BA

Primary specialty

School PsychologistTaxonomy code 103TS0200X

License

000018004 Issued in IN

Practice address

2112 Utica Sellersburg Rd
Jeffersonville, IN 47130-8506

Phone

(812) 283-0701

NPI assigned

Jul 16, 2026

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Sheridan Brooke Avery Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1784160000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1784160000000",
    "number": "1619897113",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2436 RIDGEWOOD CT",
            "city": "JEFFERSONVILLE",
            "state": "IN",
            "postal_code": "471307578",
            "telephone_number": "812-670-6700"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2112 UTICA SELLERSBURG RD",
            "city": "JEFFERSONVILLE",
            "state": "IN",
            "postal_code": "471308506",
            "telephone_number": "812-283-0701"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LARA",
        "first_name": "SHERIDAN",
        "middle_name": "BROOKE",
        "credential": "EDS,MA,BA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2026-07-16",
        "last_updated": "2026-07-16",
        "certification_date": "2026-07-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TS0200X",
            "taxonomy_group": "",
            "desc": "Psychologist, School",
            "state": "IN",
            "license": "000018004",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SHERIDAN",
            "last_name": "AVERY",
            "middle_name": "BROOKE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

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• School Psychologist in Jeffersonville, IN
• Providers in Jeffersonville, IN by specialty
• School Psychologist in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 16, 2026; 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.