Dr. Michelle Sheets Clinical Psychologist PLLC

Primary specialty

PsychologistTaxonomy code 103T00000X

License

018906 Issued in NY

Legal business name

DR. MICHELLE SHEETS CLINICAL PSYCHOLOGIST PLLC

Practice address

244 5TH Ave Ste S236
New York, NY 10001-7604

Phone

(347) 977-7637

NPI assigned

Dec 9, 2014

Organization subpart

No

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

Authorized official

Name

Dr. Michelle T Sheets, PH.DNPI 1104119452

Title

Owner

Phone

(347) 977-7637

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in NY, OH2 enrollments

Enrollment records 2

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Michelle Thomasine Sheets, PH.D.

  • Clinical Psychologist
  • New York, NY
  • NPI 1104119452

  OH

  Medicare reassignment Authorized official

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

{
    "created_epoch": "1418083200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1676073600000",
    "number": "1679971592",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "847 EUCLAIRE AVE",
            "city": "BEXLEY",
            "state": "OH",
            "postal_code": "432092415",
            "telephone_number": "347-977-7637"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "244 5TH AVE STE S236",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100017604",
            "telephone_number": "347-977-7637"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "23 Forry St",
            "address_purpose": "LOCATION",
            "city": "Newark",
            "state": "OH",
            "postal_code": "430554057",
            "country_code": "US",
            "telephone_number": "347-977-7637",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "DR. MICHELLE SHEETS CLINICAL PSYCHOLOGIST PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-12-09",
        "last_updated": "2023-02-11",
        "certification_date": "2023-02-11",
        "status": "A",
        "authorized_official_last_name": "SHEETS",
        "authorized_official_first_name": "MICHELLE",
        "authorized_official_middle_name": "T",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "347-977-7637",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PH.D"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist",
            "state": "NY",
            "license": "018906",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE",
            "identifier": "P.08145",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE",
            "identifier": "018906",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Psychologist in New York, NY
• Providers in New York, NY by specialty
• Psychologist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 11, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.