Judith I Shields, PHD

Primary specialty

PsychologistTaxonomy code 103T00000X

License

5276 Issued in OH

Practice address

2469 Fairmount Blvd
Ste. 320
Cleveland HTS, OH 44106

Phone

(216) 262-6206

NPI assigned

Nov 21, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Dr. Judie I Shields Professional name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

Practice roles

Interoperability endpoints

• FHIR API: https://api.qualifacts.org/api/fhir/psychologyconsultantsinc/r4/

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.

• B. Sharif MD, Inc

  • Psychiatry Physician
  • Mentor, OH
  • NPI 1922287382
  NPD (past)
• Premier Behavioral Health Services, LLC

  • Clinical Psychologist
  • Mentor, OH
  • NPI 1184869786
  NPD (past)
• Psychology Consultants Inc

  • Clinical Social Worker
  • Medina, OH
  • NPI 1205882941
  NPD (past)

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

{
    "created_epoch": "1164067200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1420588800000",
    "number": "1265507867",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 21753",
            "city": "SOUTH EUCLID",
            "state": "OH",
            "postal_code": "44121",
            "telephone_number": "216-262-6206"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2469 FAIRMOUNT BLVD",
            "address_2": "STE. 320",
            "city": "CLEVELAND HTS",
            "state": "OH",
            "postal_code": "44106",
            "telephone_number": "216-262-6206"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHIELDS",
        "first_name": "JUDITH",
        "middle_name": "I",
        "name_prefix": "Dr.",
        "credential": "PHD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-11-21",
        "last_updated": "2015-01-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "OH",
            "license": "5276",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JUDIE",
            "last_name": "SHIELDS",
            "middle_name": "I",
            "prefix": "DR.",
            "credential": "PHD",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Seretta Lashawn Scott, RN
• Robb Seto, MD
• Severance Circle Foot Care Inc
• Tamica Shavers
• Shemesh Therapy Center
• Andrea Londono Shishehbor, D.D.S.
• Marguriet Sims
• Sirrah Transportation SVCS, LLC
• Sista 2 Sista LLC
• Angelique Dawn Sledge, RN

• Psychologist in Cleveland HTS, OH
• Providers in Cleveland HTS, OH by specialty
• Psychologist in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 7, 2015; 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.