Active NPI
Sharon Renee Winner, PSYD
- Clinical Psychologist
- Middleburg, FL
National Provider Identifier
1679641690
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- PY8075
- Practice address
- 430 College Dr
Suite 100-102
Middleburg, FL 32068-8530 - Phone
- (904) 644-8669
- Fax
- (904) 298-1973
- NPI assigned
- Nov 30, 2006
- Last updated
- Sep 9, 2016
- 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | PY8075 | FL | Primary |
| Counseling Psychologist | 103TC1900X | NU | ||
| Clinical Child & Adolescent Psychologist | 103TC2200X | NU |
Addresses
Primary practice location
430 College Dr
Suite 100-102
Middleburg, FL 32068-8530
Mailing address
430 College Dr
Suite 100-102
Middleburg, FL 32068-8530
Phone (904) 644-8669
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PY8075 | FL | MD | Clinical Psychologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Doctors Inlet Pediatrics and Primary Care | Past | Accepting new patients | |
| Children's Express Care Clinic | Past | Accepting new patients |
Organizations & group practices 2
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.
-
dba Excel Pediatrics
- Pediatrics Physician
- Middleburg, FL
- NPI 1730685157
-
dba Doctors Inlet Internal Medicine, Spine and Pain
- Internal Medicine Physician
- Middleburg, FL
- NPI 1518328301
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1164844800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1473379200000",
"number": "1679641690",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "430 COLLEGE DR",
"address_2": "SUITE 100-102",
"city": "MIDDLEBURG",
"state": "FL",
"postal_code": "320688530",
"telephone_number": "904-644-8669",
"fax_number": "904-298-1973"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "430 COLLEGE DR",
"address_2": "SUITE 100-102",
"city": "MIDDLEBURG",
"state": "FL",
"postal_code": "320688530",
"telephone_number": "904-644-8669",
"fax_number": "904-298-1973"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WINNER",
"first_name": "SHARON",
"middle_name": "RENEE",
"credential": "PSYD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-11-30",
"last_updated": "2016-09-09",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "FL",
"license": "PY8075",
"primary": true
},
{
"code": "103TC1900X",
"taxonomy_group": "",
"desc": "Psychologist, Counseling",
"state": "NU",
"license": null,
"primary": false
},
{
"code": "103TC2200X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical Child & Adolescent",
"state": "NU",
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Middleburg, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 9, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.