Shanley Psychiatry

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

Legal business name

SHANLEY PSYCHIATRY

Practice address

23505 E Appleway Ave Ste 200-102
Liberty Lake, WA 99019-6003

Phone

(509) 844-7871

NPI assigned

Jul 24, 2023

Last updated

Nov 13, 2023By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Brenda Shanley-Savage, ARNP

Title

Owner/Arnp

Phone

(509) 844-7871

Specialties & licenses 1

Addresses

Other names 1

• Shanley Psychiatry, Inc. Other name

Medicare fee-for-service enrollment

Enrolled in WA

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Brenda Ann Shanley, ARNP

  • Psychiatric/Mental Health Nurse Practitioner
  • Spokane, WA
  • NPI 1083639207
  Medicare reassignment NPD

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

{
    "created_epoch": "1690156800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1699833600000",
    "number": "1386324333",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "24702 E MAXWELL LN",
            "city": "LIBERTY LAKE",
            "state": "WA",
            "postal_code": "990197532",
            "telephone_number": "509-844-7871"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "23505 E APPLEWAY AVE STE 200-102",
            "city": "LIBERTY LAKE",
            "state": "WA",
            "postal_code": "990196003",
            "telephone_number": "509-844-7871"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHANLEY PSYCHIATRY",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-07-24",
        "last_updated": "2023-11-13",
        "certification_date": "2023-11-13",
        "status": "A",
        "authorized_official_last_name": "SHANLEY-SAVAGE",
        "authorized_official_first_name": "BRENDA",
        "authorized_official_title_or_position": "OWNER/ARNP",
        "authorized_official_telephone_number": "509-844-7871",
        "authorized_official_credential": "ARNP"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Shanley Psychiatry, Inc.",
            "code": "5",
            "type": "Other Name"
        },
        {
            "organization_name": "Shanley Psychiatry, Inc.",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Bradley Schuldt
• Tracy Schwartzman, NP
• Scoliosis Northwest
• Scott W Ralph, DDS Ms PS
• Allen R Seely, MD
• Cameron Simonds
• Alex Sizov, LMT
• Diana Lynn Smith, PHYSICAL THERAPIST
• Kelsey Alexis Smith, RN, IBCLC
• Marc James Soelberg, DDS

• Psychiatric/Mental Health Nurse Practitioner in Liberty Lake, WA
• Providers in Liberty Lake, WA by specialty
• Psychiatric/Mental Health Nurse Practitioner in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 13, 2023; 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.