Audrey May Sherman, PH.D.

Primary specialty

Clinical NeuropsychologistTaxonomy code 103G00000X

License

1490 Issued in OR

Practice address

10700 SW Beaverton Hillsdale Hwy Ste 500
Beaverton, OR 97005-3037

Phone

(503) 334-7019

Fax

(503) 892-4557

NPI assigned

Apr 17, 2006

Last updated

Dec 7, 2023By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in OR

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

Specialty

Clinical Psychologist

Education

Other, 1999

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

State licenses

Practice roles

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.

• Patricia Camplair, PHD PC

  • Adult Mental Health Clinic/Center
  • Portland, OR
  • NPI 1306132220
  NPD (past)

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

{
    "created_epoch": "1145232000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1701907200000",
    "number": "1639133564",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1916 SW MARIGOLD ST",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972194150",
            "telephone_number": "503-334-7019",
            "fax_number": "503-892-4557"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10700 SW BEAVERTON HILLSDALE HWY STE 500",
            "city": "BEAVERTON",
            "state": "OR",
            "postal_code": "970053037",
            "telephone_number": "503-334-7019",
            "fax_number": "503-892-4557"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHERMAN",
        "first_name": "AUDREY",
        "middle_name": "MAY",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-04-17",
        "last_updated": "2023-12-07",
        "certification_date": "2023-12-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103G00000X",
            "taxonomy_group": "",
            "desc": "Clinical Neuropsychologist",
            "state": "OR",
            "license": "1490",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "022924",
            "state": "OR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• J Teresa Shelby, MD
• Kendall Shelby
• Michaela Bayley Sheldon
• Anushka Shenoy, MD
• Nichole Shepherd, MSW
• Damien Mica Sherwood
• Daniel Shevyakov
• Mandy May Faye Shields, LMT
• Wendy Shields, R.PH.
• Paul H. Shih, O.D.

• Clinical Neuropsychologist in Beaverton, OR
• Providers in Beaverton, OR by specialty
• Clinical Neuropsychologist in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 7, 2023; 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.

Verify at the official NPI Registry.