Active NPI
Sheryl B Fleisch, M.D.
- Psychiatry Physician
- Gainesville, FL
National Provider Identifier
1659533453
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- License
- ME146445
- Practice address
- 1600 SW Archer Rd
Gainesville, FL 32610-3003 - Phone
- (352) 392-0140
- NPI assigned
- Jul 2, 2008
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Addiction Medicine (Psychiatry & Neurology) Physician | 2084A0401X | ME146445 | FL | |
| Psychosomatic Medicine Physician | 2084P0015X | ME146445 | FL | |
| Psychiatry Physician | 2084P0800X | 49806 | TN | |
| Psychiatry Physician | 2084P0800X | ME146445 | FL | Primary |
Addresses
Primary practice location
1600 SW Archer Rd
Gainesville, FL 32610-3003
Mailing address
PO Box 100183
Gainesville, FL 32610-0183
Phone (352) 392-0140
Other practice location 1
2410 8th Ave S
Nashville, TN 37204-2490
Phone (615) 936-2000
Other practice location 2
1601 23rd Ave S
Nashville, TN 37212-3133
Phone (615) 875-5838
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 107397000 | Medicaid | FL |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| ME146445 | FL | MD | Psychiatry Physician |
| 49806 | TN | MD | Psychiatry Physician |
Interoperability endpoints
- sfleisch466425@direct.shands.ufl.edu
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1214956800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1603324800000",
"number": "1659533453",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 100183",
"city": "GAINESVILLE",
"state": "FL",
"postal_code": "326100183",
"telephone_number": "352-392-0140"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1600 SW ARCHER RD",
"city": "GAINESVILLE",
"state": "FL",
"postal_code": "326103003",
"telephone_number": "352-392-0140"
}
],
"practiceLocations": [
{
"address_1": "2410 8th Ave S",
"address_purpose": "LOCATION",
"city": "Nashville",
"state": "TN",
"postal_code": "372042490",
"country_code": "US",
"telephone_number": "615-936-2000",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1601 23rd Ave S",
"address_purpose": "LOCATION",
"city": "Nashville",
"state": "TN",
"postal_code": "372123133",
"country_code": "US",
"telephone_number": "615-875-5838",
"fax_number": "615-875-3450",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "FLEISCH",
"first_name": "SHERYL",
"middle_name": "B",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-07-02",
"last_updated": "2020-10-22",
"certification_date": "2020-10-22",
"status": "A"
},
"taxonomies": [
{
"code": "2084A0401X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Addiction Medicine",
"state": "FL",
"license": "ME146445",
"primary": false
},
{
"code": "2084P0015X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychosomatic Medicine",
"state": "FL",
"license": "ME146445",
"primary": false
},
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "TN",
"license": "49806",
"primary": false
},
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "FL",
"license": "ME146445",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "107397000",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Gainesville, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.