Bert Wayne Sheckler-Smith, MFT

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

License

MFC 28723 Issued in CA

Practice address

47 6TH St Ste 205
Petaluma, CA 94952-3092

Phone

(707) 363-7281

NPI assigned

Mar 31, 2008

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Mr. Bert Wayne Sheckler Former name

Medicare fee-for-service enrollment

Enrolled in CA

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

Specialty

Marriage and Family Therapist

Education

Other, 1986

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Psych Strategies Inc a Psychological CorpGroup PAC ID 0446144497, 23 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Psych Strategies Inc a Psychological Corp

  • Psychologist
  • Santa Rosa, CA
  • NPI 1699775411
  Medicare reassignment Care Compare group NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1206921600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1206921600000",
    "number": "1700058708",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "47 6TH ST STE 205",
            "city": "PETALUMA",
            "state": "CA",
            "postal_code": "949523092",
            "telephone_number": "707-363-7281"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "47 6TH ST STE 205",
            "city": "PETALUMA",
            "state": "CA",
            "postal_code": "949523092",
            "telephone_number": "707-363-7281"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHECKLER-SMITH",
        "first_name": "BERT",
        "middle_name": "WAYNE",
        "name_prefix": "Mr.",
        "credential": "MFT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-03-31",
        "last_updated": "2008-03-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "MFC 28723",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "BERT",
            "last_name": "SHECKLER",
            "middle_name": "WAYNE",
            "prefix": "MR.",
            "credential": "MFT",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Emily Sevin
• Kathleen (Catherine) Patricia Seymour
• Elham Shakeri, DDS
• Jessica Shank
• Natalia Shapiro, MD
• Kristal Shelden, R.D.
• Adam D. Shemper, M.A.
• Michaela Shepphard, M.D.
• Sherian L Prince
• Sonya Shiffer, M.ED., BCBA

• Marriage & Family Therapist in Petaluma, CA
• Providers in Petaluma, CA by specialty
• Marriage & Family Therapist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 31, 2008; 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.

Verify at the official NPI Registry.