Individual provider Active NPI

Megan Elizabeth Shelton, PH.D.

  • Psychologist
  • Saint Louis, MO
National Provider Identifier
1376855601
Registry record updated Nov 5, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
2011032561 Issued in MO
Practice address
1 Childrens PL
St. Louis Children's Hospital, Suite 3N-14
Saint Louis, MO 63110-1077
Phone
(314) 454-6069
Fax
(314) 454-4013
NPI assigned
Jul 1, 2010
Last updated
Nov 5, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 5, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychologist 103T00000X 2011032561 MO Primary

Addresses

Primary practice location

1 Childrens PL
St. Louis Children's Hospital, Suite 3N-14
Saint Louis, MO 63110-1077

Mailing address

1 Childrens PL
St. Louis Children's Hospital, Suite 3N-14
Saint Louis, MO 63110-1077
Phone (314) 454-6069

Other identifiers 1

IdentifierTypeStateIssuer
1376855601MedicaidMO

Other names 1

  • Dr. Megan Elizabeth Ubinger Former name

Electronic endpoints 1

TypeEndpointUseAffiliation
FHIR URL https://epicproxy.et0965.epichosted.com/FHIRProxy/api/FHIR/DSTU2/ Health Information Exchange (HIE)

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MO
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20130115000281 MO Practitioner - Clinical Psychologist 9739332115 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Philosophy

Practice roles

OrganizationSpecialtyStatusNew patients
St Louis Childrens Hospital CurrentSince Aug 25, 2014 Accepting new patients
St. Louis Childrens Hospital CurrentSince Aug 25, 2014 Accepting new patients
St. Louis Childrens Hospital Past Accepting new patients

Locations

1 Childrens Pl
Saint Louis, MO 63110
Phone (314) 454-2076

1 Childrens Pl
Ste 3N
Saint Louis, MO 63110

1 Childrens Pl
Ste 3N14
Saint Louis, MO 63110
Phone (314) 454-6069

13001 North Outer 40 Rd
Ste 2B
Town and Country, MO 63017
Phone (314) 454-6069

Interoperability endpoints

  • FHIR API: https://epicproxy.et0965.epichosted.com/FHIRProxy/api/FHIR/DSTU2/

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1277942400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1636070400000",
    "number": "1376855601",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 CHILDRENS PL",
            "address_2": "ST. LOUIS CHILDREN'S HOSPITAL, SUITE 3N-14",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631101077",
            "telephone_number": "314-454-6069",
            "fax_number": "314-454-4013"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 CHILDRENS PL",
            "address_2": "ST. LOUIS CHILDREN'S HOSPITAL, SUITE 3N-14",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631101077",
            "telephone_number": "314-454-6069",
            "fax_number": "314-454-4013"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHELTON",
        "first_name": "MEGAN",
        "middle_name": "ELIZABETH",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-07-01",
        "last_updated": "2021-11-05",
        "certification_date": "2021-11-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "MO",
            "license": "2011032561",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1376855601",
            "state": "MO"
        }
    ],
    "endpoints": [
        {
            "endpointType": "FHIR",
            "endpointTypeDescription": "FHIR URL",
            "endpoint": "https://epicproxy.et0965.epichosted.com/FHIRProxy/api/FHIR/DSTU2/",
            "affiliation": "N",
            "endpointDescription": "BJC",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "1 Childrens Pl",
            "address_2": "St. Louis Children's Hospital, Suite 3N-14",
            "city": "Saint Louis",
            "state": "MO",
            "country_code": "US",
            "postal_code": "631101077",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "MEGAN",
            "last_name": "UBINGER",
            "middle_name": "ELIZABETH",
            "prefix": "DR.",
            "credential": "PH.D.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Saint Louis, MO

Sources for this page

Verify at the official NPI Registry.