Individual provider Active NPI

Jack Shier, M.D.

  • Psychiatry Physician
  • Scottsdale, AZ
National Provider Identifier
1245468016
Registry record updated Aug 5, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
44797 Issued in AZ
Practice address
15849 N 71St St Ste 100
Scottsdale, AZ 85254-2179
Phone
(480) 685-7172
NPI assigned
Jun 30, 2009
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 5, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X 44797 AZ Primary

Addresses

Primary practice location

15849 N 71St St Ste 100
Scottsdale, AZ 85254-2179

Mailing address

15849 N 71St St Ste 100
Scottsdale, AZ 85254-2179
Phone (480) 685-7172

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.
Opted out of Medicare
Yes, effective Jan 1, 2017 through Jan 1, 2027

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
44797AZMDPsychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Shier Private Practice Psychiatry Current Accepting new patients
Partners in Recovery, LLC Past Accepting new patients

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1246320000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1375660800000",
    "number": "1245468016",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15849 N 71ST ST STE 100",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852542179",
            "telephone_number": "480-685-7172"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15849 N 71ST ST STE 100",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852542179",
            "telephone_number": "480-685-7172"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHIER",
        "first_name": "JACK",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2009-06-30",
        "last_updated": "2013-08-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "AZ",
            "license": "44797",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Scottsdale, AZ

Sources for this page

Verify at the official NPI Registry.