Active NPI
Sheriece Sadberry, PH.D., LP, CMPC
- Counseling Psychologist
- Tampa, FL
National Provider Identifier
1639424930
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Counseling Psychologist
- License
- 8416
- Practice address
- 7819 N Dale Mabry Hwy Ste 108
Tampa, FL 33614-3210 - Phone
- (813) 538-0149
- Fax
- (844) 371-0868
- NPI assigned
- Jul 23, 2012
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Counseling Psychologist | 103TC1900X | 2029 | KS | |
| Exercise & Sports Psychologist | 103TE1100X | 8416 | FL | |
| Exercise & Sports Psychologist | 103TE1100X | 2029 | KS | |
| Counseling Psychologist | 103TC1900X | 8416 | FL | Primary |
Addresses
Primary practice location
7819 N Dale Mabry Hwy Ste 108
Tampa, FL 33614-3210
Mailing address
7819 N Dale Mabry Hwy Ste 108
Tampa, FL 33614-3210
Phone (813) 538-0149
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
- 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, 2010
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
7819 N Dale Mabry Hwy
Suite 108
Tampa, FL 33614-3210
Phone (813) 538-0149
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 8416 | FL | MD | Exercise & Sports Psychologist |
| 2029 | KS | MD | Optometrist |
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.
-
- Counseling Psychologist
- Tampa, FL
- NPI 1356740864
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1343001600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1722556800000",
"number": "1639424930",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7819 N DALE MABRY HWY STE 108",
"city": "TAMPA",
"state": "FL",
"postal_code": "336143210",
"telephone_number": "813-538-0149",
"fax_number": "844-371-0868"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7819 N DALE MABRY HWY STE 108",
"city": "TAMPA",
"state": "FL",
"postal_code": "336143210",
"telephone_number": "813-538-0149",
"fax_number": "844-371-0868"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SADBERRY",
"first_name": "SHERIECE",
"name_prefix": "Dr.",
"credential": "PH.D., LP, CMPC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2012-07-23",
"last_updated": "2024-08-02",
"certification_date": "2024-08-02",
"status": "A"
},
"taxonomies": [
{
"code": "103TC1900X",
"taxonomy_group": "",
"desc": "Psychologist, Counseling",
"state": "KS",
"license": "2029",
"primary": false
},
{
"code": "103TE1100X",
"taxonomy_group": "",
"desc": "Psychologist, Exercise & Sports",
"state": "FL",
"license": "8416",
"primary": false
},
{
"code": "103TE1100X",
"taxonomy_group": "",
"desc": "Psychologist, Exercise & Sports",
"state": "KS",
"license": "2029",
"primary": false
},
{
"code": "103TC1900X",
"taxonomy_group": "",
"desc": "Psychologist, Counseling",
"state": "FL",
"license": "8416",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Tampa, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 2, 2024; 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.