Virginia Marie Shiller, PHD

Primary specialty

PsychologistTaxonomy code 103T00000X

License

1236 Issued in CT

Practice address

147 Bishop St
New Haven, CT 06511-3717

Phone

(203) 776-3681

Fax

(203) 776-3681

NPI assigned

Jan 9, 2007

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CT, MA2 enrollments

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 2

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 and National Provider Directory roles.

• Virginia M Shiller, PH.D., LLC

  • Psychologist
  • Lexington, MA
  • NPI 1285927871

  CT

  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1168300800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1053460139",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "201 EVERIT ST",
            "city": "NEW HAVEN",
            "state": "CT",
            "postal_code": "065111335",
            "telephone_number": "203-787-2182",
            "fax_number": "203-865-1673"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "147 BISHOP ST",
            "city": "NEW HAVEN",
            "state": "CT",
            "postal_code": "065113717",
            "telephone_number": "203-776-3681",
            "fax_number": "203-776-3681"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHILLER",
        "first_name": "VIRGINIA",
        "middle_name": "MARIE",
        "name_prefix": "Dr.",
        "credential": "PHD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-01-09",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "CT",
            "license": "1236",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Stephen Lawrence Shiao, MD
• Leigh Anne Shields-Church, LCSW
• Milton Bruce Shields, MD
• Richard N Shiffman, MD
• Julie Shih, MD
• Myer B Shimelman, MD
• Mary Lynn Shimkus, MD
• Chantelle Marie Shimono-Legault, APRN
• Esther Haerim Shin, M.D.
• Haerham Shin, APRN

• Psychologist in New Haven, CT
• Providers in New Haven, CT by specialty
• Psychologist in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.

Verify at the official NPI Registry.