Shinedling and Shinedling PLLC

Primary specialty

Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X

License

6906880-2501 Issued in UT

Legal business name

SHINEDLING AND SHINEDLING PLLC

Practice address

1795 N Snow Canyon Pkwy
Unit 36
St George, UT 84770-5851

Phone

(435) 275-2087

NPI assigned

Dec 29, 2009

Last updated

Dec 29, 2009By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Martin M Shinedling, PH.D.

Title

Psychologist

Phone

(435) 275-2087

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in UT

Enrollment records 1

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Teresa Cecelia Shinedling, LMSW ACSW MFT

  • Clinical Social Worker
  • Bay City, MI
  • NPI 1639134521

  UT

  Medicare reassignment
• Justin Gordon, LMFT

  • Marriage & Family Therapist
  • St George, UT
  • NPI 1861766586
  NPD (past)

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

{
    "created_epoch": "1262044800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1262044800000",
    "number": "1609106426",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1795 N SNOW CANYON PKWY",
            "address_2": "UNIT 36",
            "city": "ST GEORGE",
            "state": "UT",
            "postal_code": "847705851",
            "telephone_number": "435-275-2087"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1795 N SNOW CANYON PKWY",
            "address_2": "UNIT 36",
            "city": "ST GEORGE",
            "state": "UT",
            "postal_code": "847705851",
            "telephone_number": "435-275-2087"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHINEDLING AND SHINEDLING PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-12-29",
        "last_updated": "2009-12-29",
        "status": "A",
        "authorized_official_last_name": "SHINEDLING",
        "authorized_official_first_name": "MARTIN",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "PSYCHOLOGIST",
        "authorized_official_telephone_number": "435-275-2087",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PH.D."
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": "UT",
            "license": "6906880-2501",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Janae Sherman, LDEM, CPM
• Alyssa Marie Sherwood
• Angela Shields, LMFT
• Hannah Helen Richards Shields, DPT
• Rylee Noel Shields
• Julia Shinn
• Tadus Shipstead
• Jared Nicholson Shober, NP
• Sophie Shober
• Lorraine Shorty

• Mental Health Clinic/Center (Including Community Mental Health Center) in St George, UT
• Providers in St George, UT by specialty
• Mental Health Clinic/Center (Including Community Mental Health Center) in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 29, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.