Gayle R Shumaker, MA LLP

Primary specialty

PsychologistTaxonomy code 103T00000X

License

6301009247 Issued in MI

Practice address

607 Heritage CT
Holland, MI 49423-5481

Phone

(616) 396-6285

Fax

(616) 396-6172

NPI assigned

Aug 31, 2006

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 MI

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 1

Specialty

Mental Health Counselor

Education

Other, 1991

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Trio Wellspace, LLCGroup PAC ID 5092197699, 4 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Arts

State licenses

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.

• Trio Wellspace, LLC

  • Clinical Social Worker
  • Holland, MI
  • NPI 1831859826
  Medicare reassignment Care Compare group NPD
• Encourage Counseling LLC

  • Clinical Social Worker
  • Holland, MI
  • NPI 1417101726
  NPD (past)

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

{
    "created_epoch": "1156982400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1350259200000",
    "number": "1104938240",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "607 HERITAGE CT",
            "city": "HOLLAND",
            "state": "MI",
            "postal_code": "494235481",
            "telephone_number": "616-396-6285",
            "fax_number": "616-396-6172"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "607 HERITAGE CT",
            "city": "HOLLAND",
            "state": "MI",
            "postal_code": "494235481",
            "telephone_number": "616-396-6285",
            "fax_number": "616-396-6172"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHUMAKER",
        "first_name": "GAYLE",
        "middle_name": "R",
        "name_prefix": "Ms.",
        "credential": "MA LLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-31",
        "last_updated": "2012-10-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "MI",
            "license": "6301009247",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Ronald Garett Shook, DO
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• Hailee Shoupe
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• Kimberly Sichandeng
• Jolanna Elisebeth Siebert, BS
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• Wayne Russell Silver, MA, LLP, CAADC
• Joseph Anthony Silvestri II, MD

• Psychologist in Holland, MI
• Providers in Holland, MI by specialty
• Psychologist in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 15, 2012; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.