Michael Robert Sheehan in South Bend - Clinical
Michael Robert Sheehan - NPI 1518055565
Michael Robert Sheehan is a Clinical in South Bend, Indiana. Michael Robert Sheehan practices all healthcare services and medical treatments related to Clinical. The NPI Number for Michael Robert Sheehan is 1518055565. The last update date is 2007-07-08.
Michael Robert Sheehan's current location address is Po Box 1771, South Bend, Indiana. You can contact this provider via phone number 5742322600 and fax number 5742322627. The mailing address for Michael Robert Sheehan is Po Box 1771, South Bend, Indiana. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Michael Robert Sheehan |
|---|---|
| Address | Po Box 1771, South Bend, Indiana |
| Phone Number | 5742322600 |
| Fax Number | 5742322627 |
| Sole Proprietor | Y |
| Credentials | PHD, HSPP |
NPI Number Detail
| NPI Number | 1518055565 |
|---|---|
| Provider Enumeration Date | 2006-10-11 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | Po Box 1771 |
|---|---|
| City | South Bend |
| State | Indiana (IN) |
| Post Code | 466341771 |
| Phone Number | 5742322600 |
| Fax Number | 5742322627 |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 103Tc0700X |
| Licence No | 20010221A |
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Definition: A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 191017 | IN | ANTHEM/BCBS | |
| 181379 | VALUE OPTIONS |
Post Comment/ Review Below
What is the unique 10-digit identifier code assigned to Michael Robert Sheehan by the Centers for Medicare & Medicaid Services?
The Michael Robert Sheehan has been issued the NPI (National Provider Identifier) 1518055565 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.
Could you please provide the complete street address where Michael Robert Sheehan is physically located?
The Michael Robert Sheehan is physically situated at the following address: Po Box 1771, South Bend, IN, 466341771.
What is the Michael Robert Sheehan's area of specialization and corresponding taxonomy classification?
The Michael Robert Sheehan's specialty field is Clinical, and it falls under the taxonomy code 103Tc0700X, which categorizes healthcare providers based on their specialties.
On what date did the Michael Robert Sheehan receive its 1518055565 assignment from the Centers for Medicare & Medicaid Services?
The Michael Robert Sheehan was assigned its 1518055565 by the Centers for Medicare & Medicaid Services on 2006-10-11.
When was the information related to Michael Robert Sheehan most recently updated or refreshed?
The details pertaining to the Michael Robert Sheehan, including its address, specialty, and other relevant information, were last updated or refreshed on 2007-07-08.