Individual provider Active NPI

Shephali Sharma

  • Child & Adolescent Psychiatry Physician
  • Austin, TX
National Provider Identifier
1699037952
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Child & Adolescent Psychiatry PhysicianTaxonomy code 2084P0804X
License
BP10042879 Issued in TX
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

Updated by the provider on Jul 21, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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

LicenseStateTypeSpecialty
117975CAMDChild & Adolescent Psychiatry Physician
BP10042879TXMDChild & Adolescent Psychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew 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.

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.

Verify at the official NPI Registry.