Vivian Allison Shelton, PSY.D.

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

0810003370 Issued in VA

Practice address

6723 Whittier Ave
Suite 207
MC Lean, VA 22101-4522

Phone

(703) 475-6478

NPI assigned

Feb 4, 2009

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other identifiers 5

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Opted out of Medicare

Yes, effective Jan 1, 2023 through Jan 1, 2027

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Interoperability endpoints

• FHIR API: https://app.meldrx.com/api/fhir/psych-associate

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.

• Vivian a. Shelton, Psy.D., LLC Dba Evolutionary Wellbeing

  • Clinical Psychologist
  • Marion, MA
  • NPI 1205708252
  NPD Authorized official
• Psychology Associates Inc.

  • Psychiatry Physician
  • Plymouth, MA
  • NPI 1891852455
  NPD (past)

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

{
    "created_epoch": "1233705600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1557964800000",
    "number": "1487892014",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6723 WHITTIER AVE",
            "address_2": "SUITE 207",
            "city": "MC LEAN",
            "state": "VA",
            "postal_code": "221014522",
            "telephone_number": "703-475-6478"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6723 WHITTIER AVE",
            "address_2": "SUITE 207",
            "city": "MC LEAN",
            "state": "VA",
            "postal_code": "221014522",
            "telephone_number": "703-475-6478"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHELTON",
        "first_name": "VIVIAN",
        "middle_name": "ALLISON",
        "name_prefix": "Dr.",
        "credential": "PSY.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-02-04",
        "last_updated": "2019-05-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "MA",
            "license": "8990",
            "primary": false
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "VA",
            "license": "0810003370",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TUFTS",
            "identifier": "1487892014",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE",
            "identifier": "001065301",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NEIGHBORHOOD HEALTH",
            "identifier": "213380",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE SHIELD",
            "identifier": "1487892014",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "6901895/5887718",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Rekha Sharma
• Jenny April Sharon, PT, DPT, CKTP
• Alexis Danielle Shay, PT
• Steven Zachary Sheats
• Arshuman Tariq Sheikh
• Milagros Rocio Shepard, PA-C
• Trushita Sheth, PT
• Michael Shiau, DDS
• Jeanne W Shiffman, M.D.
• Sung Ryan Shin, PA-C, DHSC

• Clinical Psychologist in MC Lean, VA
• Providers in MC Lean, VA by specialty
• Clinical Psychologist in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 16, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.