Active NPI
Shawn Hilliard
- School Psychologist
- Smyrna, DE
National Provider Identifier
1437571767
On this page
Key facts
NPPES NPI Registry- Primary specialty
- School Psychologist
- License
- 62726
- Practice address
- 82 Monrovia Ave
Smyrna, DE 19977-1530 - Phone
- (302) 653-8585
- NPI assigned
- Jan 6, 2014
- Sex
- Male
- Sole proprietor
- No
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 | 62726 | DE | Primary |
Addresses
Primary practice location
82 Monrovia Ave
Smyrna, DE 19977-1530
Mailing address
82 Monrovia Ave
Smyrna, DE 19977-1530
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 |
|---|---|---|---|
| 62726 | DE | MD | School Psychologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| State of Delaware | 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 and National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1388966400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1388966400000",
"number": "1437571767",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "82 MONROVIA AVE",
"city": "SMYRNA",
"state": "DE",
"postal_code": "199771530"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "82 MONROVIA AVE",
"city": "SMYRNA",
"state": "DE",
"postal_code": "199771530",
"telephone_number": "302-653-8585"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HILLIARD",
"first_name": "SHAWN",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2014-01-06",
"last_updated": "2014-01-06",
"status": "A"
},
"taxonomies": [
{
"code": "103TS0200X",
"taxonomy_group": "",
"desc": "Psychologist, School",
"state": "DE",
"license": "62726",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Smyrna, DE
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 6, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.