Active NPI
Aubrey L. Shenk, M.A.
- Psychologist
- Boiling Springs, PA
National Provider Identifier
1467780890
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- License
- PS002421L
- Practice address
- 5 Hilltop Rd
Boiling Springs, PA 17007-9709 - Phone
- (717) 241-2822
- NPI assigned
- Nov 23, 2009
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Psychologist | 103T00000X | PS002421L | PA | Primary |
Addresses
Primary practice location
5 Hilltop Rd
Boiling Springs, PA 17007-9709
Mailing address
5 Hilltop Rd
Boiling Springs, PA 17007-9709
Phone (717) 241-2822
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
- Credentials
- Master of Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PS002421L | PA | MD | Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1258934400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1258934400000",
"number": "1467780890",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5 HILLTOP RD",
"city": "BOILING SPRINGS",
"state": "PA",
"postal_code": "170079709",
"telephone_number": "717-241-2822"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5 HILLTOP RD",
"city": "BOILING SPRINGS",
"state": "PA",
"postal_code": "170079709",
"telephone_number": "717-241-2822"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SHENK",
"first_name": "AUBREY",
"middle_name": "L.",
"name_prefix": "Mr.",
"credential": "M.A.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2009-11-23",
"last_updated": "2009-11-23",
"status": "A"
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "PA",
"license": "PS002421L",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Boiling Springs, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 23, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.