SHERILYNN CHAN PH.D.
NPI 1932581725
Psychologist - Clinical Child & Adolescent in Cincinnati, OH

NPI Status: Active since June 29, 2015

Contact Information

3333 BURNET AVENUE
MLC 3015
CINCINNATI, OH
ZIP 45229
Phone: (513) 636-4336
Fax: (513) 636-7756

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  • Individual
  • Female
  • Years of Experience 10
  • Psychologist
  • Clinical Child & Adolescent
  • Accepts Insurance
  • Accepts Medicare Approved Payment
  • PECOS Enrolled

About SHERILYNN CHAN

This page provides the complete NPI Profile along with additional information for Sherilynn Chan, a provider established in Cincinnati, Ohio with a medical specialization in Psychologist, focusing in clinical child & adolescent and more than 10 years of experience. The healthcare provider is registered in the NPI registry with number 1932581725 assigned on June 2015. The practitioner's primary taxonomy code is 103TC2200X with license number P.07763 (OH). The provider is registered as an individual and her NPI record was last updated 6 years ago.

NPI
1932581725
Provider Name
SHERILYNN CHAN PH.D.
Gender
Female
Entity Type
Individual
Location Address
3333 BURNET AVENUE MLC 3015 CINCINNATI, OH 45229
Location Phone
(513) 636-4336
Location Fax
(513) 636-7756
Mailing Address
3333 BURNET AVENUE MLC 3015 CINCINNATI, OH 45229
Mailing Phone
(513) 636-4336
Mailing Fax
(513) 636-7756
Medical School Name
OTHER
Graduation Year
2016
Is Sole Proprietor?
No
Enumeration Date
06-29-2015
Last Update Date
01-09-2020
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Location Map

Secondary Locations

  • 8701 W Watertown Plank Rd
    Milwaukee, WI 53226
    (414) 955-7581

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Psychologist Clinical Child & Adolescent

Taxonomy Code
103TC2200X
Type
Behavioral Health & Social Service Providers
License No.
P.07763
License State
OH
Taxonomy Description
A psychologist who develops and applies scientific knowledge to the delivery of psychological services to infants, toddlers, children and adolescents within their social context. Of particular importance to the specialty of clinical child psychology is an understanding of the basic psychological needs of children and adolescents, and how the family and other social contexts influence the socio-emotional adjustment, cognitive development, behavioral adaptation and health status of children and adolescents.

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

  • Bronze First 7500 $25 Generic Drugs - HMO
  • Bronze First 7500 $25 Generic Drugs Adult Vision & Fitness - HMO
  • Core Gold 1500 $10 Generic Drugs - HMO
  • Core Gold 1500 $10 Generic Drugs Adult Vision & Fitness - HMO
  • Diabetes Gold 1100 $0 Select Drugs & Specialized Services - HMO
  • Diabetes Gold 1100 $0 Select Drugs & Specialized Services Adult Vision & Fitness - HMO
  • Diabetes Silver 4000 $0 Select Drugs & Specialized Services - HMO
  • Diabetes Silver 4000 $0 Select Drugs & Specialized Services Adult Vision & Fitness - HMO
  • Gold 1500 $15 Generic Drugs - HMO
  • Gold 1500 $15 Generic Drugs Adult Vision & Fitness - HMO
  • HDHP Preventive Silver 5500 $0 Select Drugs - HMO
  • Healthy Heart Gold 1500 $0 Select Drugs & Specialized Services - HMO
  • Healthy Heart Gold 1500 $0 Select Drugs & Specialized Services Adult Vision & Fitness - HMO
  • Healthy Heart Silver 4500 $0 Select Drugs & Specialized Services - HMO
  • Healthy Heart Silver 4500 $0 Select Drugs & Specialized Services Adult Vision & Fitness - HMO
  • Low Premium Silver 6000 $3 Generic Drugs - HMO
  • Low Premium Silver 6000 $3 Generic Drugs Adult Vision & Fitness - HMO
  • Silver 5000 $20 Generic Drugs - HMO
  • Silver 5000 $20 Generic Drugs Adult Vision & Fitness - HMO
  • Premera Blue Cross Alaska One Gold - PPO
  • Premera Blue Cross Preferred Bronze 5800 HSA - PPO
  • Premera Blue Cross Preferred Bronze 6350 - PPO
  • Premera Blue Cross Preferred Gold 1500 - PPO
  • Premera Blue Cross Preferred Silver 4500 - PPO
  • Premera Blue Cross Standard Bronze II - PPO
  • Premera Blue Cross Standard Gold - PPO
  • Premera Blue Cross Standard Silver - PPO

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Medicare Participation & PECOS Enrollment Status

Sherilynn Chan is registered with Medicare and accepts claims assignment, this means the provider accepts the approved amount for the cost of rendered services as full payment. Participating providers may not charge beneficiaries more than the approved amount for their services. Please keep in mind that beneficiaries still have to pay a coinsurance or copayment amount for a visit or service.

Sherilynn Chan is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging and Durable Medical Equipment (DME).

What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.

  • Is the provider registered in PECOS? Yes

  • PECOS PAC ID: 5193075307

    What is the PECOS Associate Control ID?
    A PAC ID is a unique 10-digit number assigned to an individual or organization healthcare provider in PECOS. The PAC ID is used to link together all the provider information, like tax identification numbers and organizational names. A PAC ID can be connected to multiple Enrollment IDs if an individual or organization has enrolled in PECOS more than once.

  • PECOS Enrollment ID: I20210924002638

    What is the Provider Enrollment ID?
    The Enrollment ID is a unique alphanumeric 15-digit code assigned to each new provider's PECOS enrollment application. The Enrollment ID is used to link together all the provider enrollment information like enrollment type, state, provider specialty, and reassignment of benefits.

  • Accepts Medicare Assignment? Yes

    What does it mean "accepts medicare assignment"?
    When a provider accepts Medicare assignment, the provider agrees to be paid directly by Medicare and to accept the payment amount approved by Medicare. Additionally, the provider agrees to not bill patients for more than the Medicare deductible and coinsurance amounts.
    A provider who doesn't accept assignment may charge you up to 15% over the Medicare-approved amount. This is known as the limiting charge. You may have to pay this amount, or it may be covered by another insurer.

  • Eligible to Order or Refer Part B Clinical Laboratory and Imaging: Yes

  • Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes

  • Eligible to Order or Refer a Home Health Agency (HHA): No

  • Eligible to Order or Refer Power Mobility Devices: No

Reviews for SHERILYNN CHAN PH.D.

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1932581725
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
2962108274
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 9 + 6 + 2 + 1 + 0 + 8 + 2 + 7 + 4 + 24 = 65
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
70 - 65 = 55

The NPI number 1932581725 is valid because the calculated check digit 5 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 20 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1023088804 MICHAEL W MELLON PHD
Individual
Psychologist (Clinical)3333 BURNET AVENUE ML 5021
CINCINNATI, OH 45229
(513) 636-4225
1366419327 DAVID A REEB LISW
Individual
Social Worker3333 BURNET AVENUE ML 3014
CINCINNATI, OH 45229
(513) 636-4788
1124096326 ROBIN H GURWITCH PHD
Individual
Psychologist3333 BURNET AVENUE ML 4002
CINCINNATI, OH 45229
(513) 636-4611
1912964560 KAREN C BURNS M.D.
Individual
Pediatrics (Pediatric Hematology-Oncology)3333 BURNET AVENUE ML 7015
CINCINNATI, OH 45229
(513) 636-4266
1891746939 MICHELLE L SCUDDER LISW
Individual
Social Worker3333 BURNET AVENUE ML 5021
CINCINNATI, OH 45229
(513) 636-4788
1407801962 CAROL A FORSSELL MD
Individual
Pediatrics (Developmental - Behavioral Pediatrics)3333 BURNET AVENUE ML 4002
CINCINNATI, OH 45229
(513) 636-4688
1902851249 LISA Y REEBALS RN, CNP
Individual
Nurse Practitioner3333 BURNET AVENUE ML 4000
CINCINNATI, OH 45229
(513) 636-3336
1730124785 KRISTEN ROBERT WESSELKAMPER MD
Individual
Psychiatry & Neurology (Neurology with Special Qualifications in Child Neurology)3333 BURNET AVENUE ML 2015
CINCINNATI, OH 45229
(513) 636-4222
1013944495 KAYE GAFFNEY LISW
Individual
Social Worker3333 BURNET AVENUE ML 3014
CINCINNATI, OH 45229
(513) 636-4788
1205868155 BARBARA HALLINAN MD
Individual
Psychiatry & Neurology (Neurology with Special Qualifications in Child Neurology)3333 BURNET AVENUE ML 2015
CINCINNATI, OH 45229
(513) 636-4222
1578597985 ELEANOR A WIDDICE MD
Individual
Pediatrics (Adolescent Medicine)3333 BURNET AVENUE ML 4000
CINCINNATI, OH 45229
(513) 636-3336
1811912025 LOIS MARIE CARTER LPCC
Individual
Counselor3333 BURNET AVENUE ML 3014
CINCINNATI, OH 45229
(513) 636-4788
1306862271 CARA ROBITAILLE LISW
Individual
Social Worker (Clinical)3333 BURNET AVENUE ML 3014
CINCINNATI, OH 45229
(513) 636-4788
1558378943 ROBERT W FRENCK JR. MD
Individual
Pediatrics (Pediatric Infectious Diseases)3333 BURNET AVENUE
CINCINNATI, OH 45229
(513) 636-9985
1881798205 NICOLE M BING PSYD
Individual
Psychologist (Clinical)3333 BURNET AVENUE ML - 4002
CINCINNATI, OH 45229
(513) 636-4633
1093813172 PATRICK W BRADY MD
Individual
Pediatrics3333 BURNET AVENUE ML 5021
CINCINNATI, OH 45229
(513) 636-9985
1679668081 DIANE S BABCOCK MD
Individual
Radiology (Pediatric Radiology)3333 BURNET AVENUE ML 5021
CINCINNATI, OH 45229
(513) 636-9985
1083709422 MARGUERITE M CARE MD
Individual
Radiology (Pediatric Radiology)3333 BURNET AVENUE ML 5021
CINCINNATI, OH 45229
(513) 636-9985
1447346267 WILLIAM S BALL MD
Individual
Radiology (Pediatric Radiology)3333 BURNET AVENUE ML 5021
CINCINNATI, OH 45229
(513) 636-9985
1376632927 CYNTHIA OY CHANDLER DAUGHERTY MD
Individual
Psychiatry & Neurology (Child & Adolescent Psychiatry)3333 BURNET AVENUE ML 5021
CINCINNATI, OH 45229
(513) 636-4225

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1932581725, enumerated in the NPI registry as an "individual" on June 29, 2015

The provider is located at 3333 Burnet Avenue Mlc 3015 Cincinnati, Oh 45229 and the phone number is (513) 636-4336

The provider's speciality is Psychologist with taxonomy code 103TC2200X with a focus in Clinical Child & Adolescent

The provider has more than 10 years of experience.

The provider might be accepting Accepts: CareSource and Premera Blue Cross Blue Shield of. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.

Yes, as of June 20, 2025 the provider is registered in PECOS and is eligible to order health care services or supplies for Medicare patients. If you are a beneficiary the provider is eligible to order or refer: Part B Clinical Laboratory and Imaging and Durable Medical Equipment (DME).

This NPI record was last updated on June 29, 2015. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
NPI Profile data is regularly updated with the latest NPI registry information, if you would like to update or remove your NPI Profile in this website please contact us.