Active NPI
Michele Shriner, PH.D.
- Psychologist
- Gainesville, FL
National Provider Identifier
1518010248
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- License
- FLPY6200
- Practice address
- 225 SW 7TH Terrace
Gainesville, FL 32601 - Phone
- (352) 379-2829
- Fax
- (352) 379-2843
- NPI assigned
- Jan 18, 2007
- Reactivated
- May 25, 2021
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Counseling Psychologist | 103TC1900X | PY6200 | FL | |
| Psychologist | 103T00000X | FLPY6200 | FL | Primary |
Addresses
Primary practice location
225 SW 7TH Terrace
Gainesville, FL 32601
Mailing address
225 SW 7TH Terrace
Gainesville, FL 32601
Phone (352) 379-2829
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
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| FLPY6200 | FL | MD | Psychologist |
| PY6200 | FL | MD | Counseling Psychologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| The Itm Group | Past | Accepting new patients |
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.
-
- Community/Behavioral Health Agency
- Gainesville, FL
- NPI 1669641015
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1169078400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1621900800000",
"number": "1518010248",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "225 SW 7TH TERRACE",
"city": "GAINESVILLE",
"state": "FL",
"postal_code": "32601",
"telephone_number": "352-379-2829",
"fax_number": "352-379-2843"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "225 SW 7TH TERRACE",
"city": "GAINESVILLE",
"state": "FL",
"postal_code": "32601",
"telephone_number": "352-379-2829",
"fax_number": "352-379-2843"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SHRINER",
"first_name": "MICHELE",
"name_prefix": "Dr.",
"credential": "PH.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-01-18",
"last_updated": "2021-05-25",
"certification_date": "2021-05-25",
"deactivation_date": "2015-01-06",
"reactivation_date": "2021-05-25",
"status": "A"
},
"taxonomies": [
{
"code": "103TC1900X",
"taxonomy_group": "",
"desc": "Psychologist, Counseling",
"state": "FL",
"license": "PY6200",
"primary": false
},
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "FL",
"license": "FLPY6200",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Gainesville, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 25, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.