Michelle Marie Shober, PSY.D.

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

PY00002085 Issued in WA

Practice address

555 McDonald
Friday Harbor, WA 98250-8057

Phone

(360) 317-8752

NPI assigned

Jun 21, 2006

Last updated

Jul 8, 2007By 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)

Enrolled

Credentials

Doctor of Philosophy

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.

• MM Shober Inc

  • Community/Behavioral Health Agency
  • Friday Harbor, WA
  • NPI 1730357997
  Authorized official Same address or phone
• Compass Health

  • Community/Behavioral Health Agency
  • Everett, WA
  • NPI 1730136201
  NPD (past)

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

{
    "created_epoch": "1150848000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1376589051",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "945 VICTORIA DR",
            "city": "FRIDAY HARBOR",
            "state": "WA",
            "postal_code": "982508876",
            "telephone_number": "360-317-8752",
            "fax_number": "360-378-5458"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "555 MCDONALD",
            "city": "FRIDAY HARBOR",
            "state": "WA",
            "postal_code": "982508057",
            "telephone_number": "360-317-8752"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHOBER",
        "first_name": "MICHELLE",
        "middle_name": "MARIE",
        "name_prefix": "Dr.",
        "credential": "PSY.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-06-21",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "WA",
            "license": "PY00002085",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lynda Schwen
• Seabreeze Counseling, PLLC
• Shannon Reitan
• Connor Shannon, DC
• Bernadette Sharples
• Vincent W. Shu, MD
• Heather Lyn Small, LMP
• Amber Michele Smith
• Tina Smith, LMP
• Lila Marie Speed, MA

• Clinical Psychologist in Friday Harbor, WA
• Providers in Friday Harbor, WA by specialty
• Clinical Psychologist in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.