Sharon Jeanne Ezop, PH.D., HSPP

Primary specialty

PsychologistTaxonomy code 103T00000X

License

20041859A Issued in IN

Practice address

526 N Martin Ave
Muncie, IN 47303-3537

Phone

(765) 287-1922

NPI assigned

Nov 9, 2006

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in IN

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Clinical Psychologist

Education

Other, 2002

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

CPD3, Inc.Group PAC ID 2264860071, 3 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• CPD3, Inc.

  dba Center for Psychological Development

  • Mental Health Counselor
  • Muncie, IN
  • NPI 1821634460
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1163030400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1790855427",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "526 N MARTIN AVE",
            "city": "MUNCIE",
            "state": "IN",
            "postal_code": "473033537",
            "telephone_number": "765-287-1922"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "526 N MARTIN AVE",
            "city": "MUNCIE",
            "state": "IN",
            "postal_code": "473033537",
            "telephone_number": "765-287-1922"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EZOP",
        "first_name": "SHARON",
        "middle_name": "JEANNE",
        "credential": "PH.D., HSPP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-11-09",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "IN",
            "license": "20041859A",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "000000345066",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Eye Center Group LLC (Muncie Eye Center)
• Eye Center Group LLC
• Eye Center Group, LLC (Muncie Eye Center)
• Eye Specialists of East Central Indiana, LLC (Muncie Eye Specialists)
• Eye Specialists Surgery Centers, LLC (Muncie Surgical Care Center)
• Joseph Levi Falin, M.D.
• Abigail Falloon, FNP
• Family Harmony Health LLC
• Family Orthodontics of Indiana, LLC
• Family Vision Care LLC (Family Vision Care)

• Psychologist in Muncie, IN
• Providers in Muncie, IN by specialty
• Psychologist in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.