Shelby Spare Werner, PSYD

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

KY-1722 Issued in KY

Practice address

1455 S Fort Thomas Ave
BLDG 1475
Fort Thomas, KY 41075-2453

Phone

(859) 442-8439

NPI assigned

Apr 2, 2013

Last updated

Apr 2, 2013By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other names 1

• Ms. Shelby Nicole Spare Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Opted out of Medicare

Yes, effective Nov 26, 2018 through Nov 26, 2026

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Bethel Olentangy Psychological Services

  • Clinical Psychologist
  • Columbus, OH
  • NPI 1477003143
  NPD (past)
• M a Orcutt PHD & Associates

  • Clinical Psychologist
  • Columbus, OH
  • NPI 1194894766
  NPD (past)

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

{
    "created_epoch": "1364860800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1364860800000",
    "number": "1598008104",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3708 N BERKLEY CIR",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452363316"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1455 S FORT THOMAS AVE",
            "address_2": "BLDG 1475",
            "city": "FORT THOMAS",
            "state": "KY",
            "postal_code": "410752453",
            "telephone_number": "859-442-8439"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WERNER",
        "first_name": "SHELBY",
        "middle_name": "SPARE",
        "name_prefix": "Dr.",
        "credential": "PSYD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-04-02",
        "last_updated": "2013-04-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "KY",
            "license": "KY-1722",
            "primary": true
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "OH",
            "license": "6959",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SHELBY",
            "last_name": "SPARE",
            "middle_name": "NICOLE",
            "prefix": "MS.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Kyle Walters, M.D.
• Cheryl Wargo
• Brenton D Warren, M.D.
• Natalie N Webb, PA-C
• Robert Dillon Weber, MD
• Richard Wesley, BA
• Kendra Westwood, LPCA
• Jenna Weyer
• Bobbie Jo Wheeler, MSW, LISW
• Henrieta Josephine White, DC

• Clinical Psychologist in Fort Thomas, KY
• Providers in Fort Thomas, KY by specialty
• Clinical Psychologist in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 2, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.