Shining Times Psychological Services, LLC

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

Legal business name

SHINING TIMES PSYCHOLOGICAL SERVICES, LLC

Practice address

3077 E 98TH St
Suite 170
Indianapolis, IN 46280-2940

Phone

(317) 566-2814

Fax

(317) 566-2815

NPI assigned

Feb 27, 2012

Organization subpart

No

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

Authorized official

Name

Dr. Anne Katherine Conley-Goldstein, PH.D., HSPP

Title

Clinical Child Psychologist

Phone

(317) 566-2814

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1330300800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1330300800000",
    "number": "1215201926",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3077 E 98TH ST",
            "address_2": "SUITE 170",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462802940",
            "telephone_number": "317-566-2814",
            "fax_number": "317-566-2815"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3077 E 98TH ST",
            "address_2": "SUITE 170",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462802940",
            "telephone_number": "317-566-2814",
            "fax_number": "317-566-2815"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHINING TIMES PSYCHOLOGICAL SERVICES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-02-27",
        "last_updated": "2012-02-27",
        "status": "A",
        "authorized_official_last_name": "CONLEY-GOLDSTEIN",
        "authorized_official_first_name": "ANNE",
        "authorized_official_middle_name": "KATHERINE",
        "authorized_official_title_or_position": "CLINICAL CHILD PSYCHOLOGIST",
        "authorized_official_telephone_number": "317-566-2814",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PH.D., HSPP"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Lindsey Kay Shine, AUD
• Sheila M Shine, ACSW, LCSW
• Maritza Lydia Shingleton
• Shining Hearts Home Care LLC
• Laurie O Shipchandler, MD
• Gavin Shipley, RBT
• Danica M Shipp-McClendon, LCSW
• Michelle Shippy, RDN
• Renee Marie Shirer, D.D.S.

• Community/Behavioral Health Agency in Indianapolis, IN
• Providers in Indianapolis, IN by specialty
• Community/Behavioral Health Agency in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 27, 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.