Active NPI
Shayna Brody Whitehouse, PH.D.
- School Psychologist
- Louisville, CO
National Provider Identifier
1104260959
On this page
Key facts
NPPES NPI Registry- Primary specialty
- School Psychologist
- License
- 013219
- Practice address
- 908 Main St
370
Louisville, CO 80027-1867 - Phone
- (720) 432-1336
- NPI assigned
- Apr 24, 2013
- Sex
- Female
- 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 |
|---|---|---|---|---|
| School Psychologist | 103TS0200X | 013219 | CO | Primary |
Addresses
Primary practice location
908 Main St
370
Louisville, CO 80027-1867
Mailing address
908 Main St
370
Louisville, CO 80027-1867
Phone (720) 432-1336
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
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 013219 | CO | MD | School Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1366761600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1366761600000",
"number": "1104260959",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "908 MAIN ST",
"address_2": "370",
"city": "LOUISVILLE",
"state": "CO",
"postal_code": "800271867",
"telephone_number": "720-432-1336"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "908 MAIN ST",
"address_2": "370",
"city": "LOUISVILLE",
"state": "CO",
"postal_code": "800271867",
"telephone_number": "720-432-1336"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WHITEHOUSE",
"first_name": "SHAYNA",
"middle_name": "BRODY",
"credential": "PH.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2013-04-24",
"last_updated": "2013-04-24",
"status": "A"
},
"taxonomies": [
{
"code": "103TS0200X",
"taxonomy_group": "",
"desc": "Psychologist, School",
"state": "CO",
"license": "013219",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Louisville, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 24, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.