Laura Victoria Shipley, MS

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

6301017078 Issued in MI

Practice address

3258 Broad St
Dexter, MI 48130-1142

Phone

(734) 664-2528

NPI assigned

May 22, 2018

Last updated

May 22, 2018By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Science

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Renew Hope Counseling LLC

  • Clinical Psychologist
  • Dexter, MI
  • NPI 1316326176
  NPD (past)

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

{
    "created_epoch": "1526947200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1526947200000",
    "number": "1275024671",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3258 BROAD ST",
            "city": "DEXTER",
            "state": "MI",
            "postal_code": "481301142",
            "telephone_number": "734-748-0252"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3258 BROAD ST",
            "city": "DEXTER",
            "state": "MI",
            "postal_code": "481301142",
            "telephone_number": "734-664-2528"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "188 N Main St",
            "address_purpose": "LOCATION",
            "city": "Plymouth",
            "state": "MI",
            "postal_code": "481701236",
            "country_code": "US",
            "telephone_number": "734-748-0252",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SHIPLEY",
        "first_name": "LAURA",
        "middle_name": "VICTORIA",
        "name_prefix": "Ms.",
        "credential": "MS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-05-22",
        "last_updated": "2018-05-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "MI",
            "license": "6301017078",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Elena Segev, DNP
• Select Speech
• Serene Roots Therapy
• Shelby Foot & Ankle PLLC
• Anastasia Sheldon
• Brandon Shoukri, D.D.S., M.S.
• Brittany Nicole Shupe-Sawyer, LMSW
• Melanie Jo Siebert, OT
• Bhavneet Singh, MD
• Alexis Lorene Smith, CFY-SLP

• Clinical Psychologist in Dexter, MI
• Providers in Dexter, MI by specialty
• Clinical Psychologist in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 22, 2018; 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.