Individual provider Active NPI

Daniel Sheras, PSY.D.

  • Psychologist
  • Durham, NC
National Provider Identifier
1982911905
Registry record updated Nov 10, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
4393 Issued in NC
Practice address
1000 Park Forty PLZ Ste 350
Durham, NC 27713-5259
Phone
(919) 677-0101
NPI assigned
Sep 13, 2010
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 10, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X
Psychologist 103T00000X 4393 NC Primary

Addresses

Primary practice location

1000 Park Forty PLZ Ste 350
Durham, NC 27713-5259

Mailing address

1000 Park Forty PLZ Ste 350
Durham, NC 27713-5259
Phone (919) 677-0101

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
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.
Opted out of Medicare
Yes, effective Nov 23, 2013 through Nov 23, 2027

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
4393NCMDMassage Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Family Psychiatry Practice & Associates, PLLC PastSince Sep 4, 2022 Accepting new patients
Family Psychiatry and Psychology Associates, P.a. Past Accepting new patients

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": "1284336000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1668038400000",
    "number": "1982911905",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1000 PARK FORTY PLZ STE 350",
            "city": "DURHAM",
            "state": "NC",
            "postal_code": "277135259",
            "telephone_number": "919-677-0101"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1000 PARK FORTY PLZ STE 350",
            "city": "DURHAM",
            "state": "NC",
            "postal_code": "277135259",
            "telephone_number": "919-677-0101"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHERAS",
        "first_name": "DANIEL",
        "name_prefix": "Dr.",
        "credential": "PSY.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2010-09-13",
        "last_updated": "2022-11-10",
        "certification_date": "2022-11-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "NC",
            "license": "4393",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Durham, NC

Sources for this page

Verify at the official NPI Registry.