Active NPI
Sarah B. Shevchuk, PSY.D.
- Clinical Psychologist
- Valdosta, GA
National Provider Identifier
1871996660
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- 020091
- Practice address
- 348 Enterprise Dr Ste B
Valdosta, GA 31601-5697 - Phone
- (292) 930-1322
- NPI assigned
- Oct 7, 2014
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | 020091 | NY | Primary |
Addresses
Primary practice location
348 Enterprise Dr Ste B
Valdosta, GA 31601-5697
Mailing address
348 Enterprise Dr Ste B
Valdosta, GA 31601-5697
Phone (292) 930-1322
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 020091 | NY | MD | Clinical Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1412640000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1719792000000",
"number": "1871996660",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "348 ENTERPRISE DR STE B",
"city": "VALDOSTA",
"state": "GA",
"postal_code": "316015697",
"telephone_number": "292-930-1322"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "348 ENTERPRISE DR STE B",
"city": "VALDOSTA",
"state": "GA",
"postal_code": "316015697",
"telephone_number": "292-930-1322"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SHEVCHUK",
"first_name": "SARAH",
"middle_name": "B.",
"name_prefix": "Dr.",
"credential": "PSY.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2014-10-07",
"last_updated": "2024-07-01",
"certification_date": "2024-07-01",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "NY",
"license": "020091",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Valdosta, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 1, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.