Richard Shillabeer, PSY.D.

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

PC005087 Issued in PA

Practice address

155 Columbia St
Duryea, PA 18642-1403

Phone

(570) 466-5870

NPI assigned

May 5, 2017

Last updated

May 5, 2017By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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.

• Elite Educational and Therapeutic Support Services

  • School Psychologist
  • Rowland Heights, CA
  • NPI 1891384038
  NPD Authorized official

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

{
    "created_epoch": "1493942400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1493942400000",
    "number": "1326574609",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "155 COLUMBIA ST",
            "city": "DURYEA",
            "state": "PA",
            "postal_code": "186421403",
            "telephone_number": "570-466-5870"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "155 COLUMBIA ST",
            "city": "DURYEA",
            "state": "PA",
            "postal_code": "186421403",
            "telephone_number": "570-466-5870"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHILLABEER",
        "first_name": "RICHARD",
        "name_prefix": "Dr.",
        "credential": "PSY.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2017-05-05",
        "last_updated": "2017-05-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "PA",
            "license": "PC005087",
            "primary": true
        },
        {
            "code": "103TS0200X",
            "taxonomy_group": "",
            "desc": "Psychologist, School",
            "state": "CA",
            "license": "LEP3615",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tracy Elizabeth Labrosky, OTR/L
• Charles M Manganiello, M.D.
• Cody Ripa, LAT, ATC
• Dana Aileen Rooney
• David A Scalzo, DPM
• William A Stone Jr., HEARING INSTRUMENT S
• Makayla Wall, COTA
• Weis Markets Inc (Weis Pharmacy)
• Robert G Yager Jr., DO
• Rita Yuhas, PTA

• Mental Health Counselor in Duryea, PA
• Providers in Duryea, PA by specialty
• Mental Health Counselor in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 5, 2017; 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.