Active NPI
Sheridan Bascombe
- Mental Health Counselor
- Valley Stream, NY
National Provider Identifier
1760209530
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- P131283
- 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
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 | 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
| License | State | Type | Specialty |
|---|---|---|---|
| P131283 | NY | MD | Mental Health Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Chestnut Street Psychotherapy LCSW, PLLC | Past | Accepting new patients | |
| Park Slope Center for Mental Health, Inc | Past | 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.
-
- Social Worker
- Valley Stream, NY
- NPI 1518747724
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Brooklyn, NY
- NPI 1851382188
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.