Active NPI
Shanae A Fletcher
- Clinical Psychologist
- Agana Heights, GU
National Provider Identifier
1629540877
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- 40467
- Practice address
- U.S. Naval Hospital Guam
BLDG 50, Farenholt Ave
Agana Heights, GU 96910 - Phone
- (671) 344-9340
- NPI assigned
- Dec 28, 2018
- Last updated
- Nov 6, 2025
- 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 |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | 40467 | TX | Primary |
Addresses
Primary practice location
U.S. Naval Hospital Guam
BLDG 50, Farenholt Ave
Agana Heights, GU 96910
Mailing address
US Naval Hospital Guam PSC 455
Box 208
Fpo, AP 96540
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 |
|---|---|---|---|
| 40467 | TX | MD | Speech-Language Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1545955200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1762387200000",
"number": "1629540877",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "MIL",
"address_1": "US NAVAL HOSPITAL GUAM PSC 455",
"address_2": "BOX 208",
"city": "FPO",
"state": "AP",
"postal_code": "96540"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "U.S. NAVAL HOSPITAL GUAM",
"address_2": "BLDG 50, FARENHOLT AVE",
"city": "AGANA HEIGHTS",
"state": "GU",
"postal_code": "96910",
"telephone_number": "671-344-9340"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FLETCHER",
"first_name": "SHANAE",
"middle_name": "A",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-12-28",
"last_updated": "2025-11-06",
"certification_date": "2025-11-06",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "TX",
"license": "40467",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Agana Heights, GU
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 6, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.