Individual provider Active NPI

Shannon Ufkes, M.A., LLP

  • Psychologist
  • Coldwater, MI
National Provider Identifier
1487842373
Registry record updated Nov 6, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
6301010206 Issued in MI
Practice address
694 W Chicago Rd
Coldwater, MI 49036-8405
Phone
(517) 279-8866
Fax
(517) 924-1816
NPI assigned
Oct 5, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 6, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychologist 103T00000X 6301010206 MI Primary

Addresses

Primary practice location

694 W Chicago Rd
Coldwater, MI 49036-8405

Mailing address

PO Box 466
Marshall, MI 49068-0466
Phone (269) 789-8866

Other practice location 1

101 N Fountain St
Marshall, MI 49068-2131
Phone (269) 789-8866

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

LicenseStateTypeSpecialty
6301010206MIMDPsychologist

Practice roles

OrganizationSpecialtyStatusNew patients
New Beginnings Psychological Services PC Psychologist CurrentSince Mar 12, 2024 Accepting new patients

Locations

694 W Chicago Rd
Coldwater, MI 49036
Phone (517) 279-8866

101 N Fountain St
Marshall, MI 49068
Phone (269) 789-8866

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": "1191542400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1699228800000",
    "number": "1487842373",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 466",
            "city": "MARSHALL",
            "state": "MI",
            "postal_code": "490680466",
            "telephone_number": "269-789-8866",
            "fax_number": "517-924-1816"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "694 W CHICAGO RD",
            "city": "COLDWATER",
            "state": "MI",
            "postal_code": "490368405",
            "telephone_number": "517-279-8866",
            "fax_number": "517-924-1816"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "101 N Fountain St",
            "address_purpose": "LOCATION",
            "city": "Marshall",
            "state": "MI",
            "postal_code": "490682131",
            "country_code": "US",
            "telephone_number": "269-789-8866",
            "fax_number": "517-924-1816",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "UFKES",
        "first_name": "SHANNON",
        "credential": "M.A., LLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-10-05",
        "last_updated": "2023-11-06",
        "certification_date": "2023-11-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "MI",
            "license": "6301010206",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Coldwater, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 6, 2023; 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.