Shelby Psychological Services, Inc.

Primary specialty

PsychologistTaxonomy code 103T00000X

Legal business name

SHELBY PSYCHOLOGICAL SERVICES, INC.

Practice address

1940 Highway 33
Suite a
Pelham, AL 35124-4886

Phone

(205) 664-4010

Fax

(205) 664-9928

NPI assigned

Aug 25, 2006

Organization subpart

No

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

Authorized official

Name

Mr. Stephen Lee Vance

Title

Vice President

Phone

(205) 664-4010

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in AL

Enrollment records 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Gaye B Vance, PH.D.

  • Clinical Psychologist
  • Pelham, AL
  • NPI 1760487524
  Medicare reassignment NPD

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

{
    "created_epoch": "1156464000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1306954953",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1940 HIGHWAY 33",
            "address_2": "SUITE A",
            "city": "PELHAM",
            "state": "AL",
            "postal_code": "351244886",
            "telephone_number": "205-664-4010",
            "fax_number": "205-664-9928"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1940 HIGHWAY 33",
            "address_2": "SUITE A",
            "city": "PELHAM",
            "state": "AL",
            "postal_code": "351244886",
            "telephone_number": "205-664-4010",
            "fax_number": "205-664-9928"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHELBY PSYCHOLOGICAL SERVICES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-25",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "VANCE",
        "authorized_official_first_name": "STEPHEN",
        "authorized_official_middle_name": "LEE",
        "authorized_official_title_or_position": "VICE PRESIDENT",
        "authorized_official_telephone_number": "205-664-4010",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Psychologist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Shelby County Health Dept-Pelham Pat 1St CM
• Shelby County Health Dept-Pelham Prev Health Ed
• Shelby County Health Dept-Pelham Pri Care
• Shelby County Health Dept-Pelham VFC Immun
• Shelby Pediatric Dentistry, PC
• Susan Sheppard, SLP
• Courtney Shields
• Mary Elizabeth Shumate
• Marie Shunnarah, PT
• Susan E. Sibby-Forbes

• Psychologist in Pelham, AL
• Providers in Pelham, AL by specialty
• Psychologist in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.