Individual provider Active NPI

Sheri Pam Eisengart, PH.D.

  • Professional Counselor
  • Beachwood, OH
National Provider Identifier
1871603944
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
E0002547-SUPERVISING Issued in OH
Practice address
3690 Orange PL
Suite 430
Beachwood, OH 44122-4464
Phone
(216) 464-5330
Fax
(216) 464-5332
NPI assigned
Aug 30, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X E0002547-SUPERVISING OH Primary

Addresses

Primary practice location

3690 Orange PL
Suite 430
Beachwood, OH 44122-4464

Mailing address

3690 Orange PL
Suite 430
Beachwood, OH 44122-4464
Phone (216) 464-5330

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
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
E0002547-SUPERVISINGOHMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
North Coast Mental Health Associates Inc. PastSince Sep 1, 1995 Accepting new patients

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": "1156896000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1871603944",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3690 ORANGE PL",
            "address_2": "SUITE 430",
            "city": "BEACHWOOD",
            "state": "OH",
            "postal_code": "441224464",
            "telephone_number": "216-464-5330",
            "fax_number": "216-464-5332"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3690 ORANGE PL",
            "address_2": "SUITE 430",
            "city": "BEACHWOOD",
            "state": "OH",
            "postal_code": "441224464",
            "telephone_number": "216-464-5330",
            "fax_number": "216-464-5332"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EISENGART",
        "first_name": "SHERI",
        "middle_name": "PAM",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-30",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "OH",
            "license": "E0002547-SUPERVISING",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Beachwood, OH

Sources for this page

  • 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.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.