Individual provider Active NPI

Sharon Louise McNeany, PH.D.

  • Psychologist
  • Muncie, IN
National Provider Identifier
1922258334
Registry record updated Sep 22, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
261QM0801X Issued in IN
Practice address
3645 N Briarwood LN
Suite C
Muncie, IN 47304-5214
Phone
(765) 289-5520
Fax
(765) 289-5840
NPI assigned
Sep 22, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 22, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychologist 103T00000X 261QM0801X IN Primary

Addresses

Primary practice location

3645 N Briarwood LN
Suite C
Muncie, IN 47304-5214

Mailing address

3645 N Briarwood LN
Suite C
Muncie, IN 47304-5214
Phone (765) 289-5520

Other identifiers 1

IdentifierTypeStateIssuer
100468380MedicaidIN

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN
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
I20100825000229 IN Practitioner - Clinical Psychologist 1951434430 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Tyrow Consulting LLCGroup PAC ID 6608196787, 16 clinicians

Practice addresses (Care Compare)

3645 N Briarwood LN
Suite a
Muncie, IN 47304-5337
Phone (765) 289-5520

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
261QM0801XINMDPsychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Tyrow Consulting LLC CurrentSince Apr 22, 2015 Accepting new patients
Madison County Community Health Centers, Inc. Past Accepting new patients

Locations

3645 N Briarwood Ln
Ste A
Muncie, IN 47304
Phone (765) 289-5520

Organizations & group practices 2

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": "1222041600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1222041600000",
    "number": "1922258334",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3645 N BRIARWOOD LN",
            "address_2": "SUITE C",
            "city": "MUNCIE",
            "state": "IN",
            "postal_code": "473045214",
            "telephone_number": "765-289-5520",
            "fax_number": "765-289-5840"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3645 N BRIARWOOD LN",
            "address_2": "SUITE C",
            "city": "MUNCIE",
            "state": "IN",
            "postal_code": "473045214",
            "telephone_number": "765-289-5520",
            "fax_number": "765-289-5840"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCNEANY",
        "first_name": "SHARON",
        "middle_name": "LOUISE",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-09-22",
        "last_updated": "2008-09-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "IN",
            "license": "261QM0801X",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100468380",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Muncie, IN

Sources for this page

Verify at the official NPI Registry.