Mary Locke Shear, PH.D.

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

20040180 Issued in IN

Practice address

7337 W Jefferson Blvd
Suite 175
Fort Wayne, IN 46804-6284

Phone

(260) 436-7131

Fax

(260) 436-5123

NPI assigned

Aug 29, 2005

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Dr. Mary Locke Professional name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

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

{
    "created_epoch": "1125273600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1351468800000",
    "number": "1144213711",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7337 W JEFFERSON BLVD",
            "address_2": "SUITE 175",
            "city": "FORT WAYNE",
            "state": "IN",
            "postal_code": "468046284",
            "telephone_number": "260-436-7131",
            "fax_number": "260-436-5123"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7337 W JEFFERSON BLVD",
            "address_2": "SUITE 175",
            "city": "FORT WAYNE",
            "state": "IN",
            "postal_code": "468046284",
            "telephone_number": "260-436-7131",
            "fax_number": "260-436-5123"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHEAR",
        "first_name": "MARY",
        "middle_name": "LOCKE",
        "credential": "PH.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2005-08-29",
        "last_updated": "2012-10-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "IN",
            "license": "20040180",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100090960",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MARY",
            "last_name": "LOCKE",
            "prefix": "DR.",
            "credential": "PH.D.",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Serenity Shaw, RBT
• Tiffany Shaw, BCBA
• Todd Shaw
• SHCS, Inc (Sunshine Home Care Services)
• Thomas Allen Shealy, MD
• Amanda Shearer, RBT
• David Matthew Shearer
• Alexis Shears, FMD, BCDNM, PHD
• Amy Sheefel, BCBA
• Tracy Ann Sheefel, RN

• Clinical Psychologist in Fort Wayne, IN
• Providers in Fort Wayne, IN by specialty
• Clinical Psychologist in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 29, 2012; 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.