Active NPI
Sheila Seufert Vercruysse, PH.D.
- Psychologist
- Greenwood, IN
National Provider Identifier
1710918651
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- License
- 20040130
- Practice address
- 1701 Library Blvd Ste E
Greenwood, IN 46142-1567 - Phone
- (317) 887-6308
- Fax
- (317) 889-5912
- NPI assigned
- Jul 6, 2006
- Last updated
- Jul 8, 2007
- 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 |
|---|---|---|---|---|
| Psychologist | 103T00000X | 20040130 | IN | Primary |
Addresses
Primary practice location
1701 Library Blvd Ste E
Greenwood, IN 46142-1567
Mailing address
1701 Library Blvd Ste E
Greenwood, IN 46142-1567
Phone (317) 887-6308
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 Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 20040130 | IN | MD | Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1152144000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1710918651",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1701 LIBRARY BLVD STE E",
"city": "GREENWOOD",
"state": "IN",
"postal_code": "461421567",
"telephone_number": "317-887-6308",
"fax_number": "317-889-5912"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1701 LIBRARY BLVD STE E",
"city": "GREENWOOD",
"state": "IN",
"postal_code": "461421567",
"telephone_number": "317-887-6308",
"fax_number": "317-889-5912"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VERCRUYSSE",
"first_name": "SHEILA",
"middle_name": "SEUFERT",
"name_prefix": "Dr.",
"credential": "PH.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-07-06",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "IN",
"license": "20040130",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Greenwood, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.