Sheila R. McCormack, PH.D.

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

6301008182 Issued in MI

Practice address

983 Spaulding St., SE
Ada, MI 49301

Phone

(616) 942-9000

Fax

(616) 942-0008

NPI assigned

Aug 8, 2008

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

State licenses

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

{
    "created_epoch": "1218153600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1218153600000",
    "number": "1770739997",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "983 SPAULDING AVE SE",
            "city": "ADA",
            "state": "MI",
            "postal_code": "493013701",
            "telephone_number": "616-942-9000",
            "fax_number": "616-942-0008"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "983 SPAULDING ST., SE",
            "city": "ADA",
            "state": "MI",
            "postal_code": "49301",
            "telephone_number": "616-942-9000",
            "fax_number": "616-942-0008"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCCORMACK",
        "first_name": "SHEILA",
        "middle_name": "R.",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-08-08",
        "last_updated": "2008-08-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "MI",
            "license": "6301008182",
            "primary": false
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "MI",
            "license": "6301008182",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Stephen John Macedo, MD
• Robert Charles Mackinder, MD
• Abigail Marowski, CTRS, AFP
• Mary Zuidema LMSW LLC
• Sarah Eliza Mattson, M.D.
• Braeleigh McCoy
• Clare Marie McCullough, LPC
• Aaron William Melucci, PA-C
• Gregory James Metternich, RPH
• Megan Nicole Michalski, DDS

• Clinical Psychologist in Ada, MI
• Providers in Ada, MI by specialty
• Clinical Psychologist in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 8, 2008; 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.