Jennifer A Shaw, M.A. PSYSP.

Primary specialty

School PsychologistTaxonomy code 103TS0200X

Practice address

9231 Hamer Road
Brown County Educational Service Center
Georgetown, OH 45121

Phone

(937) 378-6118

Fax

(937) 378-4826

NPI assigned

Aug 24, 2015

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Mrs. Jennifer A Shaw Professional name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Arts

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

{
    "created_epoch": "1440374400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1440374400000",
    "number": "1417324609",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1542 APGAR RD",
            "city": "MILFORD",
            "state": "OH",
            "postal_code": "451509714",
            "telephone_number": "248-895-7976"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9231 HAMER ROAD",
            "address_2": "BROWN COUNTY EDUCATIONAL SERVICE CENTER",
            "city": "GEORGETOWN",
            "state": "OH",
            "postal_code": "45121",
            "telephone_number": "937-378-6118",
            "fax_number": "937-378-4826"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHAW",
        "first_name": "JENNIFER",
        "middle_name": "A",
        "name_prefix": "Mrs.",
        "credential": "M.A. PSYSP.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-08-24",
        "last_updated": "2015-08-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TS0200X",
            "taxonomy_group": "",
            "desc": "Psychologist, School",
            "state": "OH",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JENNIFER",
            "last_name": "SHAW",
            "middle_name": "A",
            "prefix": "MRS.",
            "credential": "M.A. PSY.SP.",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

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• School Psychologist in Georgetown, OH
• Providers in Georgetown, OH by specialty
• School Psychologist in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 24, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.