Individual provider Active NPI

Mary-Rebecca Shinn

  • School Psychologist
  • Trenton, OH
National Provider Identifier
1265357529
Registry record updated Aug 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
School PsychologistTaxonomy code 103TS0200X
License
LSP.02524 Issued in OH
Practice address
3045 Busenbark Rd
Trenton, OH 45067-7611
Phone
(513) 867-6314
Fax
(513) 867-6341
NPI assigned
Aug 13, 2026
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 13, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
School Psychologist 103TS0200X LSP.02524 OH Primary

Addresses

Primary practice location

3045 Busenbark Rd
Trenton, OH 45067-7611

Mailing address

3045 Busenbark Rd
Trenton, OH 45067-7611
Phone (513) 867-6314

Other names 1

  • Mary Shinn Other name

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": "1786579200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1786579200000",
    "number": "1265357529",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3045 BUSENBARK RD",
            "city": "TRENTON",
            "state": "OH",
            "postal_code": "450677611",
            "telephone_number": "513-867-6314",
            "fax_number": "513-867-6341"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3045 BUSENBARK RD",
            "city": "TRENTON",
            "state": "OH",
            "postal_code": "450677611",
            "telephone_number": "513-867-6314",
            "fax_number": "513-867-6341"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHINN",
        "first_name": "MARY-REBECCA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2026-08-13",
        "last_updated": "2026-08-13",
        "certification_date": "2026-08-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TS0200X",
            "taxonomy_group": "",
            "desc": "Psychologist, School",
            "state": "OH",
            "license": "LSP.02524",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MARY",
            "last_name": "SHINN",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Trenton, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 13, 2026; 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.