Sheridan Lynn Koplow, ED.D.

Primary specialty

Counseling PsychologistTaxonomy code 103TC1900X

License

PY6678 Issued in FL

Practice address

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

Phone

(561) 784-7767

Fax

(561) 784-4626

NPI assigned

Apr 12, 2007

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in FL

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

Specialty

Clinical Psychologist

Education

Other, 2000

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Sheridan Lynn Koplow Ed D PA

  • Counseling Psychologist
  • Wellington, FL
  • NPI 1851561997
  Medicare reassignment NPD Authorized official
• Rhonda Perdue PHD PA

  • Clinical Psychologist
  • Wellington, FL
  • NPI 1710152780
  NPD (past)

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

{
    "created_epoch": "1176336000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1912121971",
    "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": "561-784-7767",
            "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": "561-784-7767",
            "fax_number": "561-784-4626"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOPLOW",
        "first_name": "SHERIDAN",
        "middle_name": "LYNN",
        "name_prefix": "Dr.",
        "credential": "ED.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-04-12",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC1900X",
            "taxonomy_group": "",
            "desc": "Psychologist, Counseling",
            "state": "FL",
            "license": "PY6678",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• En Hui Ko, O.D.
• Jennifer Caitlyn Kocher, DMD
• Audrey Koenigsknecht
• Lindsey Plante Kohn, LMFT
• Taylor Koos
• Micah Mae Kramer, PA 9107084
• Zackary Kramer, APRN
• Andrew Stuart Krasner, MD
• Stephen Krasner, MD
• Kenneth J Kraushar, CRNA

• 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 Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.