Active NPI
Alissa Jill Sheldon, PH.D.
- Psychologist
- Pembroke Pines, FL
National Provider Identifier
1942591557
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- License
- PY5578
- Practice address
- 601 N Flamingo Rd
Suite 213
Pembroke Pines, FL 33028-1015 - Phone
- (954) 659-0115
- Fax
- (954) 659-0665
- NPI assigned
- Apr 29, 2011
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Psychologist | 103T00000X | PY5578 | FL | Primary |
Addresses
Primary practice location
601 N Flamingo Rd
Suite 213
Pembroke Pines, FL 33028-1015
Mailing address
601 N Flamingo Rd
Suite 213
Pembroke Pines, FL 33028-1015
Phone (954) 659-0115
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| PY5578 | Other | FL | STATE LICENSURE |
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
| License | State | Type | Specialty |
|---|---|---|---|
| PY5578 | FL | MD | Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1304035200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1430265600000",
"number": "1942591557",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "601 N FLAMINGO RD",
"address_2": "SUITE 213",
"city": "PEMBROKE PINES",
"state": "FL",
"postal_code": "330281015",
"telephone_number": "954-659-0115",
"fax_number": "954-659-0665"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "601 N FLAMINGO RD",
"address_2": "SUITE 213",
"city": "PEMBROKE PINES",
"state": "FL",
"postal_code": "330281015",
"telephone_number": "954-659-0115",
"fax_number": "954-659-0665"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SHELDON",
"first_name": "ALISSA",
"middle_name": "JILL",
"name_prefix": "Dr.",
"credential": "PH.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2011-04-29",
"last_updated": "2015-04-29",
"status": "A"
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "FL",
"license": "PY5578",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "STATE LICENSURE",
"identifier": "PY5578",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}Other providers in Pembroke Pines, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 29, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.