Shelly Fay Haferkamp, DO

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

License

U4520 Issued in TX

Practice address

6515 Kemp Blvd
Wichita Falls, TX 76308-5419

Phone

(940) 692-1220

NPI assigned

Mar 31, 2019

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in WA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Psychiatry

Education

Alabama College of Osteopathic Medicine, 2019

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: shaferkamp1673208@wm.providencedirect.org

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Spokane Behavioral Health LLC

  • Psychiatric Hospital
  • Spokane, WA
  • NPI 1932698107
  Medicare reassignment NPD
• Banyan Texas, LLC

  • Substance Abuse Rehabilitation Facility
  • Waelder, TX
  • NPI 1629689559
  NPD (past)
• Stevens County

  • Mental Illness Community Based Residential Treatment Facility
  • Colville, WA
  • NPI 1922517192
  NPD (past)

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

{
    "created_epoch": "1553990400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1757548800000",
    "number": "1417418443",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 421",
            "city": "LIBERTY LAKE",
            "state": "WA",
            "postal_code": "990190421",
            "telephone_number": "866-747-2455"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6515 KEMP BLVD",
            "city": "WICHITA FALLS",
            "state": "TX",
            "postal_code": "763085419",
            "telephone_number": "940-692-1220"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "165 E Hawthorne Ave",
            "address_purpose": "LOCATION",
            "city": "Colville",
            "state": "WA",
            "postal_code": "991142629",
            "country_code": "US",
            "telephone_number": "509-684-4597",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1050 N Argonne Rd Ste 100",
            "address_purpose": "LOCATION",
            "city": "Spokane Valley",
            "state": "WA",
            "postal_code": "992126011",
            "country_code": "US",
            "telephone_number": "509-209-8990",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4168 County Road 444",
            "address_purpose": "LOCATION",
            "city": "Waelder",
            "state": "TX",
            "postal_code": "789595328",
            "country_code": "US",
            "telephone_number": "844-611-5705",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HAFERKAMP",
        "first_name": "SHELLY",
        "middle_name": "FAY",
        "name_prefix": "Dr.",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-03-31",
        "last_updated": "2025-09-11",
        "certification_date": "2025-09-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "WA",
            "license": "OP61260811",
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "TX",
            "license": "U4520",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Paul Carneal Guthrie, PH.D.
• Blanca Lizzeth Gutierrez
• Laura Gutierrez, APRN, FNP-C
• Willi Patrice Gutierrez, RN, BSN, IBCLC
• H Ghanbari MD PA
• Jamie Lyn Hager, LVN
• Emma Halberg
• Kristina Lynn Halberg, MSN, NP-C
• Stephen Ray Halberg
• Christopher Hale, LPC

• Psychiatry Physician in Wichita Falls, TX
• Providers in Wichita Falls, TX by specialty
• Psychiatry Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2025; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.