Active NPI
Amy Jay Sherman, MA, LMFT
- Marriage & Family Therapist
- Chestnut Ridge, NY
National Provider Identifier
1972842763
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Marriage & Family Therapist
- License
- 000533-1
- Practice address
- 4 Sparrow Ave
Chestnut Ridge, NY 10977-6312 - Phone
- (845) 641-8843
- NPI assigned
- Feb 13, 2013
- 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 |
|---|---|---|---|---|
| Marriage & Family Therapist | 106H00000X | 000533-1 | NY | Primary |
Addresses
Primary practice location
4 Sparrow Ave
Chestnut Ridge, NY 10977-6312
Mailing address
4 Sparrow Ave
Chestnut Ridge, NY 10977-6312
Phone (845) 641-8843
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 000533-1 | Other | NY | MARRIAGE & FAMILY THERAPIST LICENSE # |
| 20-5990303 | Other | NY | TAX ID# |
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 |
|---|---|---|---|
| 000533-1 | NY | MD | Speech-Language Pathologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1360713600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1360713600000",
"number": "1972842763",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4 SPARROW AVE",
"city": "CHESTNUT RIDGE",
"state": "NY",
"postal_code": "109776312",
"telephone_number": "845-641-8843"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4 SPARROW AVE",
"city": "CHESTNUT RIDGE",
"state": "NY",
"postal_code": "109776312",
"telephone_number": "845-641-8843"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SHERMAN",
"first_name": "AMY",
"middle_name": "JAY",
"credential": "MA, LMFT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2013-02-13",
"last_updated": "2013-02-13",
"status": "A"
},
"taxonomies": [
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "NY",
"license": "000533-1",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MARRIAGE & FAMILY THERAPIST LICENSE #",
"identifier": "000533-1",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "TAX ID#",
"identifier": "20-5990303",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}Other providers in Chestnut Ridge, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 13, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.