Active NPI
Shelda Iverson Borders, PH.D.
- Psychologist
- Indianapolis, IN
National Provider Identifier
1215205109
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- License
- 20042518A
- Practice address
- 333 N Alabama St
Indianapolis, IN 46204-2034 - Phone
- (323) 205-7088
- Fax
- (833) 419-0181
- NPI assigned
- Dec 6, 2011
- Last updated
- Jun 6, 2025
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychologist | 103T00000X | 20042518A | IN | Primary |
Addresses
Primary practice location
333 N Alabama St
Indianapolis, IN 46204-2034
Mailing address
PO Box 7088
Fishers, IN 46038-7088
Other names 1
- Shelda Iverson
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 20042518A | IN | MD | Psychologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Emerald Neuro-Recover | 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Family Medicine Physician
- Carmel, IN
- NPI 1508334814
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1323129600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1749168000000",
"number": "1215205109",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 7088",
"city": "FISHERS",
"state": "IN",
"postal_code": "460387088"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "333 N ALABAMA ST",
"city": "INDIANAPOLIS",
"state": "IN",
"postal_code": "462042034",
"telephone_number": "323-205-7088",
"fax_number": "833-419-0181"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BORDERS",
"first_name": "SHELDA",
"middle_name": "IVERSON",
"credential": "PH.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2011-12-06",
"last_updated": "2025-06-06",
"certification_date": "2025-06-06",
"status": "A"
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "IN",
"license": "20042518A",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "SHELDA",
"last_name": "IVERSON",
"credential": "PH.D.",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Indianapolis, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 6, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.