Individual provider Active NPI

Sheri Elizabeth Esteban-Elie, PH.D.

  • Clinical Psychologist
  • Vestal, NY
National Provider Identifier
1699106484
Registry record updated Nov 8, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
016498 Issued in NY
Practice address
231 Main St Lbby
Vestal, NY 13850-1548
Phone
(607) 205-1394
NPI assigned
Dec 5, 2013
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 8, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X 016498 NY Primary

Addresses

Primary practice location

231 Main St Lbby
Vestal, NY 13850-1548

Mailing address

231 Main St Lbby
Vestal, NY 13850-1548
Phone (607) 205-1394

Other identifiers 1

IdentifierTypeStateIssuer
03789044MedicaidNY

Other names 1

  • Sheri Elizabeth Esteban Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20150105001179 NY Practitioner - Clinical Psychologist 2567785249 Practice locations: Vestal, NY

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

231 Main St
Lbby
Vestal, NY 13850-1548
Phone (607) 205-1394

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
016498NYMDClinical Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Jerry Duvinsky PHD Licensed Psychologist PC Clinical 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": "1386201600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1541635200000",
    "number": "1699106484",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "231 MAIN ST LBBY",
            "city": "VESTAL",
            "state": "NY",
            "postal_code": "138501548",
            "telephone_number": "607-205-1394"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "231 MAIN ST LBBY",
            "city": "VESTAL",
            "state": "NY",
            "postal_code": "138501548",
            "telephone_number": "607-205-1394"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ESTEBAN-ELIE",
        "first_name": "SHERI",
        "middle_name": "ELIZABETH",
        "credential": "PH.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-12-05",
        "last_updated": "2018-11-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "NY",
            "license": "016498",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "03789044",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SHERI",
            "last_name": "ESTEBAN",
            "middle_name": "ELIZABETH",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Vestal, NY

Sources for this page

Verify at the official NPI Registry.