Active NPI
Shephali Sharma
- Child & Adolescent Psychiatry Physician
- Austin, TX
National Provider Identifier
1699037952
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Child & Adolescent Psychiatry Physician
- License
- BP10042879
- Practice address
- 3501 Mills Ave
Gina Prosser, Utsw at Seton Shoal Creek Hospital
Austin, TX 78731-6309 - Phone
- (512) 324-2036
- Fax
- (512) 324-2084
- NPI assigned
- Jun 13, 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Child & Adolescent Psychiatry Physician | 2084P0804X | BP10042879 | TX | Primary |
| Child & Adolescent Psychiatry Physician | 2084P0804X | 117975 | CA |
Addresses
Primary practice location
3501 Mills Ave
Gina Prosser, Utsw at Seton Shoal Creek Hospital
Austin, TX 78731-6309
Mailing address
3501 Mills Ave
Gina Prosser, Utsw at Seton Shoal Creek Hospital
Austin, TX 78731-6309
Phone (512) 324-2036
Other practice location 1
2815 Steele Canyon Rd
El Cajon, CA 92019-4619
Phone (866) 615-7266
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 |
|---|---|---|---|
| 117975 | CA | MD | Child & Adolescent Psychiatry Physician |
| BP10042879 | TX | MD | Child & Adolescent Psychiatry Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Texas San Marcos Treatment Center, LP | Past | Accepting new patients |
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.
-
dba San Marcos Treatment Center
- Psychiatry Physician
- San Marcos, TX
- NPI 1942290267
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1339545600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1658361600000",
"number": "1699037952",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3501 MILLS AVE",
"address_2": "GINA PROSSER, UTSW AT SETON SHOAL CREEK HOSPITAL",
"city": "AUSTIN",
"state": "TX",
"postal_code": "787316309",
"telephone_number": "512-324-2036",
"fax_number": "512-324-2084"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3501 MILLS AVE",
"address_2": "GINA PROSSER, UTSW AT SETON SHOAL CREEK HOSPITAL",
"city": "AUSTIN",
"state": "TX",
"postal_code": "787316309",
"telephone_number": "512-324-2036",
"fax_number": "512-324-2084"
}
],
"practiceLocations": [
{
"address_1": "2815 Steele Canyon Rd",
"address_purpose": "LOCATION",
"city": "El Cajon",
"state": "CA",
"postal_code": "920194619",
"country_code": "US",
"telephone_number": "866-615-7266",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "SHARMA",
"first_name": "SHEPHALI",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2012-06-13",
"last_updated": "2022-07-21",
"status": "A"
},
"taxonomies": [
{
"code": "2084P0804X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Child & Adolescent Psychiatry",
"state": "TX",
"license": "BP10042879",
"primary": true
},
{
"code": "2084P0804X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Child & Adolescent Psychiatry",
"state": "CA",
"license": "117975",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Austin, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.