Jonathan David Shy, LLP

Primary specialty

PsychologistTaxonomy code 103T00000X

License

6301013706 Issued in MI

Practice address

2720 East Lansing Drive
East Lansing, MI 48823

Phone

(517) 337-2900

Fax

(517) 351-1279

NPI assigned

Feb 1, 2008

Last updated

Feb 1, 2008By the provider in NPPES

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 MI

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

Specialty

Clinical Psychologist

Education

University of Florida College of Medicine, 2008

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Comprehensive Psychological Services PCGroup PAC ID 6800805060, 9 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

91.34 of 100Reported as group

Quality

78.33

Improvement activities

40

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

State licenses

Practice roles

Locations

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.

• Comprehensive Psychological Services PC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • East Lansing, MI
  • NPI 1376759639
  Medicare reassignment Care Compare group NPD
• Comprehensive Psychological Service, PLLC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • East Lansing, MI
  • NPI 1689211153
  NPD

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

{
    "created_epoch": "1201824000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1201824000000",
    "number": "1437337417",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2720 EAST LANSING DRIVE",
            "city": "EAST LANSING",
            "state": "MI",
            "postal_code": "48823",
            "telephone_number": "517-337-2900",
            "fax_number": "517-351-1279"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2720 EAST LANSING DRIVE",
            "city": "EAST LANSING",
            "state": "MI",
            "postal_code": "48823",
            "telephone_number": "517-337-2900",
            "fax_number": "517-351-1279"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHY",
        "first_name": "JONATHAN",
        "middle_name": "DAVID",
        "name_prefix": "Mr.",
        "credential": "LLP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-02-01",
        "last_updated": "2008-02-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "MI",
            "license": "6301013706",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ginger Marie Shrader, PMHNP
• Jolene Elyse Shrewsberry-Gardner
• Donna M Shull, PA-C
• Shuptar Speech Therapy, LLC
• Ericka A Shuptar, M.S., CCC-SLP
• Lindelwe Nkazimulo Sibanda
• Antonio Siciliano, LMSW
• Christos Sidiropoulos, M.D.
• Yakov M Sigal, M.D.
• Tyler Paul Signorella, DO

• Psychologist in East Lansing, MI
• Providers in East Lansing, MI by specialty
• Psychologist in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 1, 2008; 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.