Active NPI
Shannon Ufkes, M.A., LLP
- Psychologist
- Coldwater, MI
National Provider Identifier
1487842373
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- License
- 6301010206
- 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
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 | 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
| License | State | Type | Specialty |
|---|---|---|---|
| 6301010206 | MI | MD | Psychologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| New Beginnings Psychological Services PC | Psychologist | Current | 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.
-
- Psychologist
- Coldwater, MI
- NPI 1689727505
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.