Sheridan Lynn Koplow Ed D PA

Primary specialty

Counseling PsychologistTaxonomy code 103TC1900X

License

PY6678 Issued in FL

Legal business name

SHERIDAN LYNN KOPLOW ED D PA

Practice address

10111 W Forest Hill Blvd
Suite 369
Wellington, FL 33414-6108

Phone

(561) 785-7767

Fax

(561) 784-4626

NPI assigned

Mar 5, 2008

Organization subpart

No

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

Authorized official

Name

Sheridan Lynn Koplow, ED DNPI 1912121971

Title

Psychologist President

Phone

(561) 784-7767

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

Locations

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Sheridan Lynn Koplow, ED.D.

  • Counseling Psychologist
  • Wellington, FL
  • NPI 1912121971
  Medicare reassignment NPD Authorized official
• Susan D Gierok, PHD

  • Clinical Neuropsychologist
  • West Palm Beach, FL
  • NPI 1669652657
  NPD (past)
• Rhonda S Perdue, PH D

  • Clinical Psychologist
  • Wellington, FL
  • NPI 1992861272
  NPD (past)

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

{
    "created_epoch": "1204675200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1204675200000",
    "number": "1851561997",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10111 W FOREST HILL BLVD",
            "address_2": "SUITE 369",
            "city": "WELLINGTON",
            "state": "FL",
            "postal_code": "334146108",
            "telephone_number": "561-785-7767",
            "fax_number": "561-784-4626"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10111 W FOREST HILL BLVD",
            "address_2": "SUITE 369",
            "city": "WELLINGTON",
            "state": "FL",
            "postal_code": "334146108",
            "telephone_number": "561-785-7767",
            "fax_number": "561-784-4626"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHERIDAN LYNN KOPLOW ED D PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-03-05",
        "last_updated": "2008-03-05",
        "status": "A",
        "authorized_official_last_name": "KOPLOW",
        "authorized_official_first_name": "SHERIDAN",
        "authorized_official_middle_name": "LYNN",
        "authorized_official_title_or_position": "PSYCHOLOGIST    PRESIDENT",
        "authorized_official_telephone_number": "561-784-7767",
        "authorized_official_credential": "ED D"
    },
    "taxonomies": [
        {
            "code": "103TC1900X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist, Counseling",
            "state": "FL",
            "license": "PY6678",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sheridan Children'S Healthcare Services, Inc.
• Sheridan Healthcorp Inc
• Sheridan Healthcorp Inc
• Sheridan Healthcorp Inc
• Sheridan Healthcorp Inc
• Arlene Joyce Sherman, C.HT
• Steven Sherman, MD
• Nitsa Shimoni, RPH
• Sachiko Shinohara-Lewis, DPT
• Michael David Shockley, MD

• Counseling Psychologist in Wellington, FL
• Providers in Wellington, FL by specialty
• Counseling Psychologist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 5, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.