Ian Alexander Shinney, PSY.D.

Primary specialty

Clinical Child & Adolescent PsychologistTaxonomy code 103TC2200X

License

2312 Issued in OR

Practice address

2611 Erin Way
Eugene, OR 97408-4713

Phone

(541) 915-7234

NPI assigned

Sep 9, 2008

Last updated

Jan 21, 2016By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Specialty

Clinical Psychologist

Education

Other, 2009

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Interoperability endpoints

• Direct secure messaging: ian.shinney.1@28621.direct.athenahealth.com

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

{
    "created_epoch": "1220918400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1453334400000",
    "number": "1497904924",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2611 ERIN WAY",
            "city": "EUGENE",
            "state": "OR",
            "postal_code": "974084713"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2611 ERIN WAY",
            "city": "EUGENE",
            "state": "OR",
            "postal_code": "974084713",
            "telephone_number": "541-915-7234"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHINNEY",
        "first_name": "IAN",
        "middle_name": "ALEXANDER",
        "name_prefix": "Mr.",
        "credential": "PSY.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-09-09",
        "last_updated": "2016-01-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC2200X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical Child & Adolescent",
            "state": "OR",
            "license": "2312",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Holly Marie Shillington, M.D.
• Ed Shiman, M.A.
• Shin Shin Tang PHD. Inc
• Hyoju Shin
• Jordan J Shin, MS
• Shirk Chiropractic Clinic P.C.
• Rodney K Shirk, D.C.
• Sandra M Shirley, PT
• Ashley Shobe
• Molly Ellen Shoemaker

• Clinical Child & Adolescent Psychologist in Eugene, OR
• Providers in Eugene, OR by specialty
• Clinical Child & Adolescent Psychologist in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 21, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.