George Deacon Shoenberger, PHD

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

PY0569 Issued in NV

Practice address

245 Mount Rose St
Reno, NV 89509-3355

Phone

(775) 448-6828

Fax

(775) 322-2964

NPI assigned

Sep 16, 2008

Last updated

Aug 11, 2014By the provider in NPPES

Sex

Male

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Enrolled in NV

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Clinical Psychologist

Education

Other, 2000

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Health Psychology Associates LLCGroup PAC ID 6204180284, 15 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• G D Shoenberger, Inc.

  • Clinical Psychologist
  • Reno, NV
  • NPI 1487999579
  Medicare reassignment NPD Authorized official
• Health Psychology Associates LLC

  • Marriage & Family Therapist
  • Reno, NV
  • NPI 1366836702
  Medicare reassignment Care Compare group NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1221523200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1407715200000",
    "number": "1003065921",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "245 MOUNT ROSE ST",
            "city": "RENO",
            "state": "NV",
            "postal_code": "895093355",
            "telephone_number": "775-448-6828",
            "fax_number": "775-322-2964"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "245 MOUNT ROSE ST",
            "city": "RENO",
            "state": "NV",
            "postal_code": "895093355",
            "telephone_number": "775-448-6828",
            "fax_number": "775-322-2964"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHOENBERGER",
        "first_name": "GEORGE",
        "middle_name": "DEACON",
        "name_prefix": "Dr.",
        "credential": "PHD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-09-16",
        "last_updated": "2014-08-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "NV",
            "license": "PY0569",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Hannah Shlansky, MD
• Carolyn Shockowitz
• Rachael Mariah Shoemake, RN
• Lindsey Jaye Shoemaker
• Rebecca A Shoemaker, PA-C
• Paul Young Shonnard, MD
• Sedona Shonnard, DPT
• Kevin Shoopman
• Lindsey Shopshire
• Elizabeth Short

• Clinical Psychologist in Reno, NV
• Providers in Reno, NV by specialty
• Clinical Psychologist in Nevada

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 11, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.