Individual provider Active NPI

Rachel Sherman, PSY.D.

  • Clinical Psychologist
  • Franklin, WV
National Provider Identifier
1972009405
Registry record updated Sep 11, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
1251 Issued in WV
Practice address
82 Pine St.
Franklin, WV 26807-0100
Phone
(304) 358-2355
Fax
(855) 332-1388
NPI assigned
Apr 3, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 11, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X 1251 WV Primary

Addresses

Primary practice location

82 Pine St.
Franklin, WV 26807-0100

Mailing address

PO Box 100
Franklin, WV 26807-0100
Phone (304) 358-2355

Other identifiers 2

IdentifierTypeStateIssuer
1251OtherPROFESSIONAL LICENSE
1972009405MedicaidWV

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WV
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
I20200611003192 WV Practitioner - Clinical Psychologist 6608298021 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Pendleton Community Care Inc CurrentSince Jul 6, 2020 Accepting new patients
Pendleton Community Care Inc CurrentSince Jul 6, 2020 Accepting new patients
Pendleton Community Care, Inc. Current Accepting new patients
Pendleton Community Care, Inc. Past Accepting new patients
Pendleton Community Care Inc Past Accepting new patients
Pendleton Community Care, Inc. Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: rachel.sherman.1@6719.direct.athenahealth.com

Organizations & group practices 6

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": "1522713600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1599782400000",
    "number": "1972009405",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 100",
            "city": "FRANKLIN",
            "state": "WV",
            "postal_code": "268070100",
            "telephone_number": "304-358-2355",
            "fax_number": "855-332-1388"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "82 PINE ST.",
            "city": "FRANKLIN",
            "state": "WV",
            "postal_code": "268070100",
            "telephone_number": "304-358-2355",
            "fax_number": "855-332-1388"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHERMAN",
        "first_name": "RACHEL",
        "credential": "PSY.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-04-03",
        "last_updated": "2020-09-11",
        "certification_date": "2020-09-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "WV",
            "license": "1251",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PROFESSIONAL LICENSE",
            "identifier": "1251",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1972009405",
            "state": "WV"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Franklin, WV

Sources for this page

Verify at the official NPI Registry.