Active NPI
Sonia Sharma, PH.D.
- Clinical Psychologist
- Scott AFB, IL
National Provider Identifier
1699055434
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- 071008072
- Practice address
- 375TH Medical Group
310 West Losey Street
Scott AFB, IL 62225 - Phone
- (618) 256-7386
- NPI assigned
- Aug 24, 2011
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | 071008072 | IL | Primary |
Addresses
Primary practice location
375TH Medical Group
310 West Losey Street
Scott AFB, IL 62225
Mailing address
375TH Medical Group
310 West Losey Street
Scott AFB, IL 62225
Phone (618) 256-7386
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care CompareMerit-based Incentive Payment System (MIPS)
- Final score
- 93.28 of 100
- Quality
- 73.53
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 70.73
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Philosophy
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| The Board of Trustees of the University of Illinois | Current | Accepting new patients | |
| The Board of Trustees of the University of Illinois | Clinical | Current | Accepting new patients |
| Teladoc Health Medical Group, P.a. | Current | Accepting new patients |
Locations
7825 Solution Ctr
Chicago, IL 60677
912 S Wood St
Chicago, IL 60612
Phone (312) 996-2200
Interoperability endpoints
- soniasharma@tdh.allscriptsdirect.net
Organizations & group practices 3
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 Department of Psychiatry
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Chicago, IL
- NPI 1609822147
Clinical
-
dba Occupational Health Service Institute (OHSI)
- Occupational Medicine Physician
- Chicago, IL
- NPI 1043727571
-
- Family Medicine Physician
- Lewisville, TX
- NPI 1245403567
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1314144000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1525046400000",
"number": "1699055434",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "375TH MEDICAL GROUP",
"address_2": "310 WEST LOSEY STREET",
"city": "SCOTT AFB",
"state": "IL",
"postal_code": "62225",
"telephone_number": "618-256-7386"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "375TH MEDICAL GROUP",
"address_2": "310 WEST LOSEY STREET",
"city": "SCOTT AFB",
"state": "IL",
"postal_code": "62225",
"telephone_number": "618-256-7386"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SHARMA",
"first_name": "SONIA",
"name_prefix": "Dr.",
"credential": "PH.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2011-08-24",
"last_updated": "2018-04-30",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "IL",
"license": "071008072",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Scott AFB, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 30, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.