Active NPIIndividual provider

Mr. King H Sheridan, MSPSYED, CRA

Counselor, Mental Health in Dumont, New Jersey

NPI Number1760020986
Practice location
2 Park Ave, Dumont, NJ 07628-3004
Fax
201-385-9689
Last updated
December 18, 2019

King H Sheridan is a Counselor, Mental Health based in Dumont, NJ. King H Sheridan practices in Dumont, NJ and has the professional credentials of MSPSYED, CRA. The NPI Number for King H Sheridan is 1760020986. The current practice location address for King H Sheridan is 2 Park Ave, Dumont, NJ 07628-3004 and can be reached out via phone at 201-385-4400 and via fax at 201-385-9689.

Provider Profile Details

NPI Number
1760020986
Provider Name
King H Sheridan
Credential
MSPSYED, CRA
Provider Entity Type
Individual
Gender
Male
Address
2 Park Ave, Dumont, NJ 07628-3004
Phone Number
201-385-4400
Fax Number
201-385-9689
Primary Taxonomy
Counselor, Mental Health · 101YM0800X
Sole Proprietor
No
Provider Enumeration Date
December 18, 2019
Last Update Date
December 18, 2019
Certification Date
December 18, 2019
NPI Status
Active

Provider Business Practice Location Address Details

Address
2 Park Ave
Dumont, NJ 07628-3004
City
Dumont
Zip
07628-3004
Phone Number
201-385-4400
Fax Number
201-385-9689
Dumont, NJ 07628Get directions →

Provider Business Mailing Address Details

Address
2 Park Ave
Dumont, NJ 07628-3004
City
Dumont
State
NJ
Zip
07628-3004
Phone Number
201-385-4400
Fax Number
201-385-9689

License Information

License State
NJ
Taxonomy
Counselor, Mental Health · 101YM0800X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Mr. King H Sheridan, MSPSYED, CRA?

The NPI number of Mr. King H Sheridan, MSPSYED, CRA is 1760020986. It was assigned on December 18, 2019 and is currently active in the NPPES registry.

What is the specialty of Mr. King H Sheridan, MSPSYED, CRA?

Mr. King H Sheridan, MSPSYED, CRA is registered under the primary taxonomy Counselor, Mental Health (code 101YM0800X).

Where does Mr. King H Sheridan, MSPSYED, CRA practice?

The practice location is 2 Park Ave, Dumont, NJ 07628-3004. The office can be reached at 201-385-4400 (phone) or 201-385-9689 (fax).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1760020986 directly on the NPPES registry website.

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