Michael Shamalov, HSPP

Primary specialty

Health Service PsychologistTaxonomy code 103TH0100X

Practice address

500 8TH Ave
Terre Haute, IN 47804-4072

Phone

(812) 231-8376

NPI assigned

Jan 24, 2018

Sex

Male

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Greenhouse and Associates Inc.

  • Clinical Psychologist
  • Indianapolis, IN
  • NPI 1114237336
  NPD (past)
• Hamilton Center, Inc.

  • Community/Behavioral Health Agency
  • Terre Haute, IN
  • NPI 1649007774
  NPD (past)

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

{
    "created_epoch": "1516752000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1517961600000",
    "number": "1467950477",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 55107",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462050107",
            "telephone_number": "317-253-7387"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "500 8TH AVE",
            "city": "TERRE HAUTE",
            "state": "IN",
            "postal_code": "478044072",
            "telephone_number": "812-231-8376"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHAMALOV",
        "first_name": "MICHAEL",
        "credential": "HSPP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-01-24",
        "last_updated": "2018-02-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TH0100X",
            "taxonomy_group": "",
            "desc": "Psychologist, Health Service",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "IN",
            "license": "20043100A",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Emily Shafer, MA
• Ronald Morton Shafer, M.D.
• Dipen V Shah, M.D.
• Parita Shah
• Shailja Shah, M.D
• Robin Lynn Shamsaie, PH.D.
• Courtney Shaner
• Michael James Elkins Shanks, DO
• Rajalakshmi V Shantharam, M.D.
• Susan Corrine Sharifi, MD

• Health Service Psychologist in Terre Haute, IN
• Providers in Terre Haute, IN by specialty
• Health Service Psychologist in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 7, 2018; 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.