NPIMap

Organization Active NPI

Dr. Melinda Shaver, L.L.C.

  • Community/Behavioral Health Agency
  • Independence, KS
National Provider Identifier
1679959811
Registry record updated Mar 2, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
License
2326 Issued in KS
Legal business name
DR. MELINDA SHAVER, L.L.C.
Practice address
201 N Penn Ave
Suite 507
Independence, KS 67301-3357
Phone
(620) 926-1286
NPI assigned
Aug 10, 2015
Last updated
Mar 2, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 2, 2016

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

Authorized official

Name
Dr. Melinda Anne Shaver, PSYDNPI 1427061209
Title
Licensed Psychologist
Phone
(620) 926-1286

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X 962 OK
Community/Behavioral Health Agency 251S00000X 2326 KS Primary

Addresses

Primary practice location

201 N Penn Ave
Suite 507
Independence, KS 67301-3357

Mailing address

201 N Penn Ave
Suite 507
Independence, KS 67301-3357
Phone (620) 926-1286

Other identifiers 1

IdentifierTypeStateIssuer
201124310AMedicaidKS

National Provider Directory

National Provider Directory

Locations

201 N Penn Ave
Ste 507
Independence, KS 67301
Phone (620) 926-1286

Practitioners & affiliated clinicians

Practitioners 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1439164800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1456876800000",
    "number": "1679959811",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "201 N PENN AVE",
            "address_2": "SUITE 507",
            "city": "INDEPENDENCE",
            "state": "KS",
            "postal_code": "673013357",
            "telephone_number": "620-926-1286"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "201 N PENN AVE",
            "address_2": "SUITE 507",
            "city": "INDEPENDENCE",
            "state": "KS",
            "postal_code": "673013357",
            "telephone_number": "620-926-1286"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR. MELINDA SHAVER, L.L.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-08-10",
        "last_updated": "2016-03-02",
        "status": "A",
        "authorized_official_last_name": "SHAVER",
        "authorized_official_first_name": "MELINDA",
        "authorized_official_middle_name": "ANNE",
        "authorized_official_title_or_position": "LICENSED PSYCHOLOGIST",
        "authorized_official_telephone_number": "620-926-1286",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PSYD"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "OK",
            "license": "962",
            "primary": false
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "KS",
            "license": "2326",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "201124310A",
            "state": "KS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Independence, KS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 2, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.