Active NPI
Michael Shockey
- School Psychologist
- Avon Lake, OH
National Provider Identifier
1386575207
On this page
Key facts
NPPES NPI Registry- Primary specialty
- School Psychologist
- License
- LSP.00419
- Practice address
- 175 Avon Belden Rd
Avon Lake, OH 44012-1600 - Phone
- (440) 933-6210
- NPI assigned
- May 28, 2026
- Last updated
- May 28, 2026
- Sex
- Unspecified or another gender identity
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| School Psychologist | 103TS0200X | LSP.00419 | OH | Primary |
Addresses
Primary practice location
175 Avon Belden Rd
Avon Lake, OH 44012-1600
Mailing address
175 Avon Belden Rd
Avon Lake, OH 44012-1600
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
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 |
Organizations & group practices 1
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.
-
- Local Education Agency (LEA)
- Avon Lake, OH
- NPI 1790925907
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1779926400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1779926400000",
"number": "1386575207",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "175 AVON BELDEN RD",
"city": "AVON LAKE",
"state": "OH",
"postal_code": "440121600"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "175 AVON BELDEN RD",
"city": "AVON LAKE",
"state": "OH",
"postal_code": "440121600",
"telephone_number": "440-933-6210"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SHOCKEY",
"first_name": "MICHAEL",
"sole_proprietor": "YES",
"sex": "X",
"enumeration_date": "2026-05-28",
"last_updated": "2026-05-28",
"certification_date": "2026-05-28",
"status": "A"
},
"taxonomies": [
{
"code": "103TS0200X",
"taxonomy_group": "",
"desc": "Psychologist, School",
"state": "OH",
"license": "LSP.00419",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Avon Lake, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 28, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.