Active NPI
Shelly Lynn Riley, M.D.
- Psychiatry Physician
- Austin, TX
National Provider Identifier
1164528535
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- License
- L8171
- Practice address
- 3660 Stoneridge Rd
BLDG F101
Austin, TX 78746-7760 - Phone
- (512) 329-8222
- Fax
- (512) 329-0087
- NPI assigned
- Sep 15, 2006
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatry Physician | 2084P0800X | L8171 | TX | Primary |
| Child & Adolescent Psychiatry Physician | 2084P0804X | L8171 | TX |
Addresses
Primary practice location
3660 Stoneridge Rd
BLDG F101
Austin, TX 78746-7760
Mailing address
3660 Stoneridge Rd
BLDG F101
Austin, TX 78746-7760
Phone (512) 329-8222
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Opted out of Medicare
- Yes, effective Nov 8, 2023 through Nov 8, 2027
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| L8171 | TX | MD | Psychiatry Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Scott Hammel Partners LTD | Past | 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 and National Provider Directory roles.
-
- Psychologist
- Austin, TX
- NPI 1982758827
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1158278400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1207267200000",
"number": "1164528535",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3660 STONERIDGE RD",
"address_2": "BLDG F101",
"city": "AUSTIN",
"state": "TX",
"postal_code": "787467760",
"telephone_number": "512-329-8222",
"fax_number": "512-329-0087"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3660 STONERIDGE RD",
"address_2": "BLDG F101",
"city": "AUSTIN",
"state": "TX",
"postal_code": "787467760",
"telephone_number": "512-329-8222",
"fax_number": "512-329-0087"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RILEY",
"first_name": "SHELLY",
"middle_name": "LYNN",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-09-15",
"last_updated": "2008-04-04",
"status": "A"
},
"taxonomies": [
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "TX",
"license": "L8171",
"primary": true
},
{
"code": "2084P0804X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Child & Adolescent Psychiatry",
"state": "TX",
"license": "L8171",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Austin, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 4, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.