Active NPI
Sherina Persaud, PH.D.
- Clinical Psychologist
- New York, NY
National Provider Identifier
1699115956
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- 022287
- Practice address
- 295 Madison Ave RM 707
New York, NY 10017-7764 - Phone
- (646) 450-5239
- NPI assigned
- Jul 1, 2013
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | 022287 | NY | Primary |
Addresses
Primary practice location
295 Madison Ave RM 707
New York, NY 10017-7764
Mailing address
2920 Broadway
New York, NY 10027-7164
Other practice location 1
80 5th Ave
6th Floor
New York, NY 10011-8002
Phone (212) 305-5977
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)
- Not enrolled
- Credentials
- Doctor of Philosophy
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1372636800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1521244800000",
"number": "1699115956",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2920 BROADWAY",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100277164"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "295 MADISON AVE RM 707",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100177764",
"telephone_number": "646-450-5239"
}
],
"practiceLocations": [
{
"address_1": "80 5th Ave",
"address_2": "6th Floor",
"address_purpose": "LOCATION",
"city": "New York",
"state": "NY",
"postal_code": "100118002",
"country_code": "US",
"telephone_number": "212-305-5977",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "PERSAUD",
"first_name": "SHERINA",
"name_prefix": "Dr.",
"credential": "PH.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2013-07-01",
"last_updated": "2018-03-17",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Psychologist, Clinical",
"state": "NY",
"license": "022287",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in New York, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.