Provider Demographics
NPI:1851504245
Name:SHEERAN, THOMAS (PHD)
Entity type:Individual
Prefix:DR
First Name:THOMAS
Middle Name:
Last Name:SHEERAN
Suffix:
Gender:M
Credentials:PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:47 DANIELSON PIKE
Mailing Address - Street 2:
Mailing Address - City:NORTH SCITUATE
Mailing Address - State:RI
Mailing Address - Zip Code:02857-1892
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:401-296-3995
Practice Address - Street 1:47 DANIELSON PIKE
Practice Address - Street 2:
Practice Address - City:NORTH SCITUATE
Practice Address - State:RI
Practice Address - Zip Code:02857-1892
Practice Address - Country:US
Practice Address - Phone:401-895-7897
Practice Address - Fax:401-296-3995
Is Sole Proprietor?:No
Enumeration Date:2007-05-08
Last Update Date:2023-05-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
RIPS00757103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
RI007009370Medicare ID - Type Unspecified