Individual provider Active NPI

Shelby Hartze, ED.S

  • School Psychologist
  • Spearfish, SD
National Provider Identifier
1073347563
Registry record updated Aug 28, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
School PsychologistTaxonomy code 103TS0200X
License
91267 Issued in SD
Practice address
525 E Illinois St
Spearfish, SD 57783-2521
Phone
(605) 717-1201
Fax
(605) 717-1200
NPI assigned
Aug 28, 2024
Last updated
Aug 28, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 28, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
School Psychologist 103TS0200X 91267 SD Primary

Addresses

Primary practice location

525 E Illinois St
Spearfish, SD 57783-2521

Mailing address

525 E Illinois St
Spearfish, SD 57783-2521
Phone (605) 717-1201

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
91267SDMDSchool Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Spearfish School District PastSince Sep 1, 2024 Accepting new patients

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1724803200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1724803200000",
    "number": "1073347563",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "525 E ILLINOIS ST",
            "city": "SPEARFISH",
            "state": "SD",
            "postal_code": "577832521",
            "telephone_number": "605-717-1201",
            "fax_number": "605-717-1200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "525 E ILLINOIS ST",
            "city": "SPEARFISH",
            "state": "SD",
            "postal_code": "577832521",
            "telephone_number": "605-717-1201",
            "fax_number": "605-717-1200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HARTZE",
        "first_name": "SHELBY",
        "credential": "ED.S",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-08-28",
        "last_updated": "2024-08-28",
        "certification_date": "2024-08-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TS0200X",
            "taxonomy_group": "",
            "desc": "Psychologist, School",
            "state": "SD",
            "license": "91267",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Spearfish, SD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 28, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.