Active NPI
Jessica Shenesey, PH.D.
- Clinical Psychologist
- Mobile, AL
National Provider Identifier
1225386162
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- 1858
- Practice address
- 5 Dauphin St Ste 201
Mobile, AL 36602-3242 - Phone
- (251) 512-5026
- Fax
- (251) 277-2494
- NPI assigned
- Aug 27, 2012
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | 1858 | AL | Primary |
Addresses
Primary practice location
5 Dauphin St Ste 201
Mobile, AL 36602-3242
Mailing address
5 Dauphin St Ste 201
Mobile, AL 36602-3242
Phone (251) 512-5026
Other practice location 1
273 Azalea Rd
Suite 2-413
Mobile, AL 36609-1970
Phone (251) 343-0566
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20140122000734 | AL | Practitioner - Clinical Psychologist | 7113155037 | Practice locations: Mobile, AL |
Care Compare profile
Medicare Care Compare- Specialty
- Clinical Psychologist
- Education
- University of South Alabama College of Medicine, 2013
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
273 Azalea Rd
Suite 2/413
Mobile, AL 36609-1913
3929 Airport Blvd
Suite 2 413
Mobile, AL 36609-2239
Phone (251) 343-0566
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Philosophy
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| John W Davis, PH.D. | Clinical | 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.
-
- Clinical Psychologist
- Mobile, AL
- NPI 1780005629
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1346025600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1688601600000",
"number": "1225386162",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5 DAUPHIN ST STE 201",
"city": "MOBILE",
"state": "AL",
"postal_code": "366023242",
"telephone_number": "251-512-5026",
"fax_number": "251-277-2494"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5 DAUPHIN ST STE 201",
"city": "MOBILE",
"state": "AL",
"postal_code": "366023242",
"telephone_number": "251-512-5026",
"fax_number": "251-277-2494"
}
],
"practiceLocations": [
{
"address_1": "273 Azalea Rd",
"address_2": "Suite 2-413",
"address_purpose": "LOCATION",
"city": "Mobile",
"state": "AL",
"postal_code": "366091970",
"country_code": "US",
"telephone_number": "251-343-0566",
"fax_number": "251-343-0120",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "SHENESEY",
"first_name": "JESSICA",
"credential": "PH.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2012-08-27",
"last_updated": "2023-07-06",
"certification_date": "2023-07-06",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "AL",
"license": "1858",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Mobile, AL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 6, 2023; 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.