Active NPI
Shaquelle Carr
- Psychologist
- Saint Johns, MI
National Provider Identifier
1255212023
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- Practice address
- 1505 Waterford Pkwy
Saint Johns, MI 48879-9630 - Phone
- (989) 292-3572
- NPI assigned
- Sep 9, 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 | Primary |
Addresses
Primary practice location
1505 Waterford Pkwy
Saint Johns, MI 48879-9630
Mailing address
4435 Dover Hills Dr Apt 302
Kalamazoo, MI 49009-2716
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)
- Not enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1757376000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1757376000000",
"number": "1255212023",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4435 DOVER HILLS DR APT 302",
"city": "KALAMAZOO",
"state": "MI",
"postal_code": "490092716"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1505 WATERFORD PKWY",
"city": "SAINT JOHNS",
"state": "MI",
"postal_code": "488799630",
"telephone_number": "989-292-3572"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CARR",
"first_name": "SHAQUELLE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2025-09-09",
"last_updated": "2025-09-09",
"certification_date": "2025-09-09",
"status": "A"
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Saint Johns, MI
- Melissa Brzozowski
- Sarah Lynn Budnick, O.D.
- Lauren Ashley Camargo
- Aubree Leigh Capen, DMD
- Caring and Sharing Family Life Services, Inc.
- Cynthia Carson, MSW
- Robert Edward Cartwright, M.A.L.L.P.
- Mark A Caswell, MS, LLPC
- CCS/Lansing, Inc (Turning Point Youth Center)
- Central Michigan Osteoporosis Treatment Center, PLC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 9, 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.