Michael Shockey
Individual provider Active NPI School Psychologist · Avon Lake, OH
NPI 1386575207 · NPPES record last updated May 28, 2026
Key facts
- NPI
- 1386575207
- Entity type
- Individual (NPI type 1)
- Primary specialty
- School Psychologist 103TS0200X
- License
- LSP.00419 (OH)
- Practice address
- 175 Avon Belden Rd
Avon Lake, OH 44012-1600 - Phone
- (440) 933-6210
- NPI assigned
- May 28, 2026
- Sex
- Unspecified or another gender identity
- Sole proprietor
- Yes
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LSP.00419 | OH | MD | School Psychologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Avon Lake City Schools | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| School Psychologist | 103TS0200X | LSP.00419 | OH | Yes |
Addresses
Primary practice location
175 Avon Belden Rd
Avon Lake, OH 44012-1600
Mailing address
175 Avon Belden Rd
Avon Lake, OH 44012-1600
Other providers in Avon Lake, OH
- Jimmy Bill Servetas
- Karan Sandip Shah
- Aarika Sheehan
- Jaclyn Shlapack
- Melanie J Shmois
- Marie A. Simon
- Rayeka Sitabkhan
- Bethany Sue Small
- Erin Smith
- Jody Smith
All providers in Avon Lake, OH · School Psychologist in Ohio
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 28, 2026. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.