Paul Alan Shiebler, PSY D

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

4529 Issued in MA

Practice address

52 Cedar St
Psychiatry & Family Counslg
Worcester, MA 01609

Phone

(508) 752-5191

Fax

(508) 792-1514

NPI assigned

Nov 7, 2006

Sex

Male

Sole proprietor

No

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

Enrolled in MA

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

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1162857600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1407925290",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "52 CEDAR ST",
            "address_2": "PSYCHIATRY & FAMILY COUNSLG",
            "city": "WORCESTER",
            "state": "MA",
            "postal_code": "01609",
            "telephone_number": "508-752-5191",
            "fax_number": "508-792-1514"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "52 CEDAR ST",
            "address_2": "PSYCHIATRY & FAMILY COUNSLG",
            "city": "WORCESTER",
            "state": "MA",
            "postal_code": "01609",
            "telephone_number": "508-752-5191",
            "fax_number": "508-792-1514"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHIEBLER",
        "first_name": "PAUL",
        "middle_name": "ALAN",
        "credential": "PSY D",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-11-07",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "MA",
            "license": "4529",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Alexander John Sherwood
• Parth D. Sheth, MD
• Sahil Sheth, PHARMD
• Nicole C Shetka
• Shahrzad Shidfar, M.D.
• Joann Shields, M. ED.
• Sara G Shields, FAMILY PRACTICE
• Thomas Matthew Shields, MD
• Jeffrey Alan Shih, M.D.
• Katie Nicole Shikora, PA-C

• Clinical Psychologist in Worcester, MA
• Providers in Worcester, MA by specialty
• Clinical Psychologist in Massachusetts

• 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.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.