Active NPI
Perry James Sherman, PHD
- Psychologist
- Delmar, NY
National Provider Identifier
1619960929
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- License
- 014838
- Practice address
- 196 Delaware Ave
Delmar, NY 12054-1227 - Phone
- (518) 439-0033
- Fax
- (518) 439-7167
- NPI assigned
- Aug 23, 2005
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychologist | 103T00000X | 014838 | NY | Primary |
Addresses
Primary practice location
196 Delaware Ave
Delmar, NY 12054-1227
Mailing address
402 Union St
Schenectady, NY 12305-1119
Phone (518) 374-7555
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2190581 | Medicaid | NY |
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Clinical Psychologist
- Education
- Other, 1999
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
196 Delaware Ave
Delmar, NY 12054-1230
Phone (518) 439-0033
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 014838 | NY | MD | Psychologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Cca Wellness Network Ipa LLC | Psychologist | Current | Accepting new patients |
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 and National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1124755200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1194480000000",
"number": "1619960929",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "402 UNION ST",
"city": "SCHENECTADY",
"state": "NY",
"postal_code": "123051119",
"telephone_number": "518-374-7555",
"fax_number": "518-374-6898"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "196 DELAWARE AVE",
"city": "DELMAR",
"state": "NY",
"postal_code": "120541227",
"telephone_number": "518-439-0033",
"fax_number": "518-439-7167"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SHERMAN",
"first_name": "PERRY",
"middle_name": "JAMES",
"name_prefix": "Dr.",
"credential": "PHD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-08-23",
"last_updated": "2007-11-08",
"status": "A"
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "NY",
"license": "014838",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "2190581",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}Other providers in Delmar, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.