Active NPI
Michael Edward Shuell, PH.D
- Psychologist
- Chico, CA
National Provider Identifier
1043248669
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- License
- PSY19024
- Practice address
- 3209 Esplanade Ste 150
Chico, CA 95973-0155 - Phone
- (530) 891-6292
- Fax
- (530) 636-4628
- NPI assigned
- Jun 30, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychologist | 103T00000X | PSY19024 | CA | Primary |
Addresses
Primary practice location
3209 Esplanade Ste 150
Chico, CA 95973-0155
Mailing address
3209 Esplanade Ste 150
Chico, CA 95973-0155
Phone (530) 891-6251
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: No
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PSY19024 | CA | MD | Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1151625600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1677715200000",
"number": "1043248669",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3209 ESPLANADE STE 150",
"city": "CHICO",
"state": "CA",
"postal_code": "959730155",
"telephone_number": "530-891-6251",
"fax_number": "530-636-4628"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3209 ESPLANADE STE 150",
"city": "CHICO",
"state": "CA",
"postal_code": "959730155",
"telephone_number": "530-891-6292",
"fax_number": "530-636-4628"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SHUELL",
"first_name": "MICHAEL",
"middle_name": "EDWARD",
"name_prefix": "Dr.",
"credential": "PH.D",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-06-30",
"last_updated": "2023-03-02",
"certification_date": "2023-03-02",
"status": "A"
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "CA",
"license": "PSY19024",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Chico, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 2, 2023; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.