Phyllis Rebecca Koch-Sheras, PHD

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

0810000851 Issued in VA

Practice address

211 W Main St
2ND Floor
Charlottesville, VA 22902-5033

Phone

(434) 971-4701

Fax

(434) 973-3536

NPI assigned

Jul 30, 2009

Last updated

Jul 30, 2009By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Philosophy

State licenses

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

{
    "created_epoch": "1248912000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1248912000000",
    "number": "1730310368",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "211 W MAIN ST",
            "address_2": "2ND FLOOR",
            "city": "CHARLOTTESVILLE",
            "state": "VA",
            "postal_code": "229025033",
            "telephone_number": "434-971-4701",
            "fax_number": "434-973-3536"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "211 W MAIN ST",
            "address_2": "2ND FLOOR",
            "city": "CHARLOTTESVILLE",
            "state": "VA",
            "postal_code": "229025033",
            "telephone_number": "434-971-4701",
            "fax_number": "434-973-3536"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOCH-SHERAS",
        "first_name": "PHYLLIS",
        "middle_name": "REBECCA",
        "name_prefix": "Dr.",
        "credential": "PHD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-07-30",
        "last_updated": "2009-07-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "VA",
            "license": "0810000851",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Allen Ko, MD
• Elizabeth Ko
• Hyunsun D Ko, N.P.
• Yurim Ko, PHARMD
• Koch Hearing LLC (Evolution Hearing)
• Emily D. Koch, N.P.
• Kristin Rachel Koch, AU. D.
• Sally Haines Koch, FNP-BC
• Shalini Kochicheril
• Emily Koester, RN, CNL

• Clinical Psychologist in Charlottesville, VA
• Providers in Charlottesville, VA by specialty
• Clinical Psychologist in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 30, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.