Individual provider Active NPI

Sharon Michele Dresbach, PH.D.

  • Clinical Psychologist
  • Jacksonville, NC
National Provider Identifier
1861411068
Registry record updated Apr 21, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
2411 Issued in NC
Practice address
250 Huff Drive
Johnston Pain Management
Jacksonville, NC 28546-7325
Phone
(910) 353-4414
Fax
(910) 353-2972
NPI assigned
Jul 19, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 21, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X 2411 NC Primary

Addresses

Primary practice location

250 Huff Drive
Johnston Pain Management
Jacksonville, NC 28546-7325

Mailing address

250 Huff Dr
Johnston Pain Management
Jacksonville, NC 28546-7369
Phone (910) 353-4414

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC
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

Enrollment IDStateProvider typePAC IDDetails
I20111020000591 NC Practitioner - Clinical Psychologist 4486826245 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
State University of New York at Stony Brook, School of Medicine, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Johnston Pain Management PAGroup PAC ID 9931167178, 16 clinicians

Practice addresses (Care Compare)

14057 US Hwy 17
Suite 220
Hampstead, NC 28443-3779
Phone (910) 353-4414

250 Huff Dr
Jacksonville, NC 28546-7369
Phone (910) 353-4414

Merit-based Incentive Payment System (MIPS)

Final score
57.09 of 100Reported as group
Quality
57.41
Promoting interoperability
0
Improvement activities
40
Cost
82.88

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
2411NCMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Johnston Pain Management PA CurrentSince Oct 8, 2011 Accepting new patients

Locations

250 Huff Dr
Jacksonville, NC 28546
Phone (910) 353-4414

12 Office Park Dr
Jacksonville, NC 28546
Phone (910) 353-4414

Organizations & group practices 1

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": "1153267200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1303344000000",
    "number": "1861411068",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "250 HUFF DR",
            "address_2": "JOHNSTON PAIN MANAGEMENT",
            "city": "JACKSONVILLE",
            "state": "NC",
            "postal_code": "285467369",
            "telephone_number": "910-353-4414",
            "fax_number": "910-353-2972"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "250 HUFF DRIVE",
            "address_2": "JOHNSTON PAIN MANAGEMENT",
            "city": "JACKSONVILLE",
            "state": "NC",
            "postal_code": "285467325",
            "telephone_number": "910-353-4414",
            "fax_number": "910-353-2972"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DRESBACH",
        "first_name": "SHARON",
        "middle_name": "MICHELE",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-07-19",
        "last_updated": "2011-04-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "NC",
            "license": "2411",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jacksonville, NC

Sources for this page

Verify at the official NPI Registry.