JOSEPH B SHERIS (MA) – Psychologist, NPI 1639170624

JOSEPH B SHERIS (MA) is a healthcare provider. based in Pottsville, Pennsylvania. specializing in CLINICAL PSYCHOLOGIST. They hold the professional credentials MA. They hold a License No. PS006842L (PA). The NPI Number for JOSEPH B SHERIS (MA) is 1639170624

Main info

Male
15 Years Of Experience
Accepts Medicare Assignment
Name
JOSEPH B SHERIS (MA)
NPI
1639170624
Phone
(570) 622-1025
Address
450 N CLAUDE A LORD BLVD
Enumeration Date
2 August 2005
Last Update Date
21 July 2022

Doctor Profile

Medical School Name
OTHER
Secondary Phone
5706221025
Graduation Year
2011 (15 years ago)
PAC ID
4789778309
Group Practice PAC ID
0547362923
Professional Enrollment ID
I20240729001057
Address ID
PA179013000PO115XXSTXX401
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience54
Completeness75
Years active:20State licenses:1Digital endpointsOther names

1,669 CLINICAL PSYCHOLOGIST in PA

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Provider Addresses for JOSEPH B SHERIS (MA)

  • 450, North Claude A Lord Boulevard, Jalappa, Pottsville, Schuylkill County, Pennsylvania, 17901, United States

    POTTSVILLE, PA 179012706

    Phone: (570) 622-1025

    Fax: (570) 628-4344

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2024-07-29

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20240729001057IClinical PsychologistPATBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 17901)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 0547362923View full group profile
NameSpecialtyState
Mental Health CounselorPA
Clinical Social WorkerPA
-PA
Mental Health CounselorPA
Clinical Social WorkerPA
-PA
Mental Health CounselorPA
Mental Health CounselorPA
Mental Health CounselorPA

Reviews

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Frequently asked questions

Can I verify JOSEPH B SHERIS (MA) with an NPI only?
You can start verification with NPI 1639170624 for JOSEPH B SHERIS (MA), then check state licensing separately.
Does the file indicate JOSEPH B SHERIS (MA) is practicing under active NPI?
Directory data currently reports JOSEPH B SHERIS (MA) as active.
What is JOSEPH B SHERIS (MA)'s specialty?
The listing groups JOSEPH B SHERIS (MA) with Psychologist. Clinical services aligned with this taxonomy classification.
Does JOSEPH B SHERIS (MA) list a practice location?
Patients near Pottsville, Pennsylvania may find JOSEPH B SHERIS (MA) in results; validate coverage separately.
How many locations tie to this NPI?
2 practice locations appear in the available data.

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