Individual provider Active NPI

Sheryl H. Statman, PH.D.

  • Clinical Neuropsychologist
  • Rye, NY
National Provider Identifier
1881781789
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical NeuropsychologistTaxonomy code 103G00000X
License
010098 Issued in NY
Practice address
16 School St
Suite One
Rye, NY 10580-2952
Phone
(914) 967-1984
Fax
(914) 967-7142
NPI assigned
Oct 10, 2006
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Female
Sole proprietor
Yes

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
Clinical Neuropsychologist 103G00000X 010098 NY Primary

Addresses

Primary practice location

16 School St
Suite One
Rye, NY 10580-2952

Mailing address

16 School St
Suite One
Rye, NY 10580-2952
Phone (914) 967-1984

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
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
I20110120000659 NY Practitioner - Clinical Psychologist 9931388188 Practice locations: Rye, NY

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 1987
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

16 School St
Rye, NY 10580-2952
Phone (914) 967-1984

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
010098NYMDOccupational Therapy Assistant

NPI Registry JSON

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

{
    "created_epoch": "1160438400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1881781789",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16 SCHOOL ST",
            "address_2": "SUITE ONE",
            "city": "RYE",
            "state": "NY",
            "postal_code": "105802952",
            "telephone_number": "914-967-1984",
            "fax_number": "914-967-7142"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16 SCHOOL ST",
            "address_2": "SUITE ONE",
            "city": "RYE",
            "state": "NY",
            "postal_code": "105802952",
            "telephone_number": "914-967-1984",
            "fax_number": "914-967-7142"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STATMAN",
        "first_name": "SHERYL",
        "middle_name": "H.",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-10-10",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103G00000X",
            "taxonomy_group": "",
            "desc": "Clinical Neuropsychologist",
            "state": "NY",
            "license": "010098",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rye, NY

Sources for this page

Verify at the official NPI Registry.