Active NPI
Shelby B Haines, DOCTOR
- Behavior Analyst
- Wheeling, WV
National Provider Identifier
1669898995
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Analyst
- License
- 1284
- Practice address
- 1 Medical Park
Wheeling, WV 26003-6379 - Phone
- (304) 243-8310
- Fax
- (304) 243-8430
- NPI assigned
- Mar 11, 2014
- 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 |
|---|---|---|---|---|
| Behavior Analyst | 103K00000X | 1284 | WV | Primary |
Addresses
Primary practice location
1 Medical Park
Wheeling, WV 26003-6379
Mailing address
1 Medical Park
Wheeling Hospital Inc
Wheeling, WV 26003-6379
Phone (304) 243-8310
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1284 | Other | WV | WV STATE LICENSE |
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 |
|---|---|---|---|
| 1284 | WV | MD | Behavioral Analyst |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1394496000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1394496000000",
"number": "1669898995",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1 MEDICAL PARK",
"address_2": "WHEELING HOSPITAL INC",
"city": "WHEELING",
"state": "WV",
"postal_code": "260036379",
"telephone_number": "304-243-8310",
"fax_number": "304-243-8430"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1 MEDICAL PARK",
"city": "WHEELING",
"state": "WV",
"postal_code": "260036379",
"telephone_number": "304-243-8310",
"fax_number": "304-243-8430"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HAINES",
"first_name": "SHELBY",
"middle_name": "B",
"credential": "DOCTOR",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2014-03-11",
"last_updated": "2014-03-11",
"status": "A"
},
"taxonomies": [
{
"code": "103K00000X",
"taxonomy_group": "",
"desc": "Behavior Analyst",
"state": "WV",
"license": "1284",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "WV STATE LICENSE",
"identifier": "1284",
"state": "WV"
}
],
"endpoints": [],
"other_names": []
}Other providers in Wheeling, WV
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 11, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.