Dr. Dan Shea, PLLC

Primary specialty

Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X

Legal business name

DR. DAN SHEA, PLLC

Practice address

1820 Shiloh Rd
Suite 1301
Tyler, TX 75703-2426

Phone

(903) 980-8622

NPI assigned

Mar 13, 2016

Organization subpart

No

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

Authorized official

Name

Daniel J. Shea, PSY.D., LPCNPI 1801257217

Title

Managing Member

Phone

(903) 980-8622

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Daniel Shea, PSY.D., LPC

  • Professional Counselor
  • Tyler, TX
  • NPI 1801257217
  NPD (past) Authorized official

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

{
    "created_epoch": "1457827200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1457827200000",
    "number": "1104287549",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1820 SHILOH RD",
            "address_2": "SUITE 1301",
            "city": "TYLER",
            "state": "TX",
            "postal_code": "757032426",
            "telephone_number": "903-980-8622"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1820 SHILOH RD",
            "address_2": "SUITE 1301",
            "city": "TYLER",
            "state": "TX",
            "postal_code": "757032426",
            "telephone_number": "903-980-8622"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR. DAN SHEA, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-03-13",
        "last_updated": "2016-03-13",
        "status": "A",
        "authorized_official_last_name": "SHEA",
        "authorized_official_first_name": "DANIEL",
        "authorized_official_middle_name": "J.",
        "authorized_official_title_or_position": "MANAGING MEMBER",
        "authorized_official_telephone_number": "903-980-8622",
        "authorized_official_credential": "PSY.D., LPC"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Mental Health Clinic/Center (Including Community Mental Health Center) in Tyler, TX
• Providers in Tyler, TX by specialty
• Mental Health Clinic/Center (Including Community Mental Health Center) in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 13, 2016; 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.