Active NPI
Shamika Marie White-Lovelace, HOME HEALTH AIDE
- Health Service Psychologist
- Cleveland, OH
National Provider Identifier
1528554896
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Health Service Psychologist
- License
- SJ398635
- Practice address
- 3886 Brookside Blvd
Cleveland, OH 44111-5105 - Phone
- (216) 386-2148
- NPI assigned
- Jul 10, 2018
- 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 |
|---|---|---|---|---|
| Health Service Psychologist | 103TH0100X | SJ398635 | OH | Primary |
Addresses
Primary practice location
3886 Brookside Blvd
Cleveland, OH 44111-5105
Mailing address
3886 Brookside Blvd
Cleveland, OH 44111-5105
Phone (216) 386-2148
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| SJ398635 | OH | MD | Health Service Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1531180800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1531180800000",
"number": "1528554896",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3886 BROOKSIDE BLVD",
"city": "CLEVELAND",
"state": "OH",
"postal_code": "441115105",
"telephone_number": "216-386-2148"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3886 BROOKSIDE BLVD",
"city": "CLEVELAND",
"state": "OH",
"postal_code": "441115105",
"telephone_number": "216-386-2148"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WHITE-LOVELACE",
"first_name": "SHAMIKA",
"middle_name": "MARIE",
"credential": "HOME HEALTH AIDE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-07-10",
"last_updated": "2018-07-10",
"status": "A"
},
"taxonomies": [
{
"code": "103TH0100X",
"taxonomy_group": "",
"desc": "Psychologist, Health Service",
"state": "OH",
"license": "SJ398635",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Cleveland, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 10, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.