Elizabeth A. Sherlock, PH.D.

Primary specialty

PsychologistTaxonomy code 103T00000X

License

117457-2501 Issued in UT

Practice address

75 MDG/SGHC
7321 11TH Street, BLDG. 570
Hill AFB, UT 84056

Phone

(801) 777-7909

NPI assigned

Jul 1, 2008

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

Practice roles

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.

• Advanced Behavioral Care, Inc.

  • Professional Counselor
  • Salt Lake City, UT
  • NPI 1013981935
  NPD (past)

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

{
    "created_epoch": "1214870400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1214870400000",
    "number": "1629230669",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2185 BUENA VISTA DR",
            "city": "MOAB",
            "state": "UT",
            "postal_code": "845323492",
            "telephone_number": "435-259-3880"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "75 MDG/SGHC",
            "address_2": "7321 11TH STREET, BLDG. 570",
            "city": "HILL AFB",
            "state": "UT",
            "postal_code": "84056",
            "telephone_number": "801-777-7909"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHERLOCK",
        "first_name": "ELIZABETH",
        "middle_name": "A.",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-07-01",
        "last_updated": "2008-07-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "UT",
            "license": "117457-2501",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kyle Sansom, DDS
• Thomas Earl Schneider, PA
• Patrick James Scollon
• Loni Spencer Scott, DPT
• Chloe Johanna Angello Shea, MD
• Peter Thomas Sipos, M.D.
• Marissa Skipper, LCSW
• Claudia Irene Sloan, IDMT
• Morgan Rylee Smith, LISW
• Mayra Solorzano

• Psychologist in Hill AFB, UT
• Providers in Hill AFB, UT by specialty
• Psychologist in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 1, 2008; 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.