Individual provider Active NPI

Shawn Forrest Guiling, PH.D.

  • Cognitive & Behavioral Psychologist
  • Cape Girardeau, MO
National Provider Identifier
1265717466
Registry record updated Oct 19, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cognitive & Behavioral PsychologistTaxonomy code 103TB0200X
License
2007034398 Issued in MO
Practice address
615 N Broadview St
Suite 102
Cape Girardeau, MO 63701-4313
Phone
(573) 334-2889
Fax
(573) 651-9152
NPI assigned
Oct 19, 2011
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 19, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Cognitive & Behavioral Psychologist 103TB0200X 2007034398 MO Primary

Addresses

Primary practice location

615 N Broadview St
Suite 102
Cape Girardeau, MO 63701-4313

Mailing address

615 N Broadview St
Suite 102
Cape Girardeau, MO 63701-4313
Phone (573) 334-2889

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)
Enrolled
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
2007034398MOMDCognitive & Behavioral Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Denise Essners & Associates PastSince Aug 15, 2021 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.

NPI Registry JSON

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

{
    "created_epoch": "1318982400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1318982400000",
    "number": "1265717466",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "615 N BROADVIEW ST",
            "address_2": "SUITE 102",
            "city": "CAPE GIRARDEAU",
            "state": "MO",
            "postal_code": "637014313",
            "telephone_number": "573-334-2889",
            "fax_number": "573-651-9152"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "615 N BROADVIEW ST",
            "address_2": "SUITE 102",
            "city": "CAPE GIRARDEAU",
            "state": "MO",
            "postal_code": "637014313",
            "telephone_number": "573-334-2889",
            "fax_number": "573-651-9152"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GUILING",
        "first_name": "SHAWN",
        "middle_name": "FORREST",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-10-19",
        "last_updated": "2011-10-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TB0200X",
            "taxonomy_group": "",
            "desc": "Psychologist, Cognitive & Behavioral",
            "state": "MO",
            "license": "2007034398",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cape Girardeau, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 19, 2011; 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.