Active NPI
Thomas Sherratt, M.A.
- Counseling Psychologist
- Durham, NC
National Provider Identifier
1962616862
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Counseling Psychologist
- License
- 618
- Practice address
- 1200 Broad St
Suite 204
Durham, NC 27705-3579 - Phone
- (919) 286-7500
- Fax
- (919) 493-5798
- NPI assigned
- May 9, 2007
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Counseling Psychologist | 103TC1900X | 618 | NC | Primary |
Addresses
Primary practice location
1200 Broad St
Suite 204
Durham, NC 27705-3579
Mailing address
1200 Broad St
Suite 204
Durham, NC 27705-3579
Phone (919) 286-7500
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 135 WV | Other | NC | BCBS PROVIDER |
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
- Master of Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 618 | NC | MD | Acupuncturist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1178668800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1962616862",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1200 BROAD ST",
"address_2": "SUITE 204",
"city": "DURHAM",
"state": "NC",
"postal_code": "277053579",
"telephone_number": "919-286-7500",
"fax_number": "919-493-5798"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1200 BROAD ST",
"address_2": "SUITE 204",
"city": "DURHAM",
"state": "NC",
"postal_code": "277053579",
"telephone_number": "919-286-7500",
"fax_number": "919-493-5798"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SHERRATT",
"first_name": "THOMAS",
"credential": "M.A.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-05-09",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "103TC1900X",
"taxonomy_group": "",
"desc": "Psychologist, Counseling",
"state": "NC",
"license": "618",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS PROVIDER",
"identifier": "135 WV",
"state": "NC"
}
],
"endpoints": [],
"other_names": []
}Other providers in Durham, NC
Sources for this page
- 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.