Active NPI
Dae Cherylyn Sheridan, PH.D., LMHC,CRC
- Mental Health Counselor
- Tampa, FL
National Provider Identifier
1730483207
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- MH#7154
- Practice address
- 7320 E Fletcher Ave
Tampa, FL 33637-0916 - Phone
- (813) 431-8292
- NPI assigned
- Dec 27, 2010
- 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 |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | MH#7154 | FL | Primary |
Addresses
Primary practice location
7320 E Fletcher Ave
Tampa, FL 33637-0916
Mailing address
7320 E Fletcher Ave
Tampa, FL 33637-0916
Phone (813) 431-8292
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MH#7154 | FL | MD | Mental Health Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1293408000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1293408000000",
"number": "1730483207",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7320 E FLETCHER AVE",
"city": "TAMPA",
"state": "FL",
"postal_code": "336370916",
"telephone_number": "813-431-8292"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7320 E FLETCHER AVE",
"city": "TAMPA",
"state": "FL",
"postal_code": "336370916",
"telephone_number": "813-431-8292"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SHERIDAN",
"first_name": "DAE",
"middle_name": "CHERYLYN",
"name_prefix": "Dr.",
"credential": "PH.D., LMHC,CRC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2010-12-27",
"last_updated": "2010-12-27",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "FL",
"license": "MH#7154",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Tampa, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 27, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.