Individual provider Active NPI

Sheridan Bascombe

  • Mental Health Counselor
  • Valley Stream, NY
National Provider Identifier
1760209530
Registry record updated Jul 1, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
P131283 Issued in NY
Practice address
10 E Merrick Rd Ste 304
Valley Stream, NY 11580-5800
Phone
(516) 875-2075
Fax
(516) 386-9974
NPI assigned
Sep 24, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 1, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X P131283 NY Primary

Addresses

Primary practice location

10 E Merrick Rd Ste 304
Valley Stream, NY 11580-5800

Mailing address

10 E Merrick Rd Ste 304
Valley Stream, NY 11580-5800
Phone (516) 875-2075

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

State licenses

LicenseStateTypeSpecialty
P131283NYMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Chestnut Street Psychotherapy LCSW, PLLC PastSince Oct 8, 2023 Accepting new patients
Park Slope Center for Mental Health, Inc PastSince Jun 9, 2021 Accepting new patients

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1727136000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1782864000000",
    "number": "1760209530",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10 E MERRICK RD STE 304",
            "city": "VALLEY STREAM",
            "state": "NY",
            "postal_code": "115805800",
            "telephone_number": "516-875-2075",
            "fax_number": "516-386-9974"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10 E MERRICK RD STE 304",
            "city": "VALLEY STREAM",
            "state": "NY",
            "postal_code": "115805800",
            "telephone_number": "516-875-2075",
            "fax_number": "516-386-9974"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BASCOMBE",
        "first_name": "SHERIDAN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-09-24",
        "last_updated": "2026-07-01",
        "certification_date": "2026-07-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NY",
            "license": "P131283",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Valley Stream, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 1, 2026; 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.