Individual provider Active NPI

Don Shem

  • School Psychologist
  • New Franklin, OH
National Provider Identifier
1689099251
Registry record updated Feb 19, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
School PsychologistTaxonomy code 103TS0200X
License
UA1004908 Issued in OH
Practice address
6075 Manchester Rd
New Franklin, OH 44319-4654
Phone
(330) 882-4133
NPI assigned
Feb 19, 2014
Last updated
Feb 19, 2014By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 19, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
School Psychologist 103TS0200X UA1004908 OH Primary

Addresses

Primary practice location

6075 Manchester Rd
New Franklin, OH 44319-4654

Mailing address

6075 Manchester Rd
New Franklin, OH 44319-4654
Phone (330) 882-4133

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

LicenseStateTypeSpecialty
UA1004908OHMDSchool Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Manchester Local School District Past Accepting new patients

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1392768000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1392768000000",
    "number": "1689099251",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6075 MANCHESTER RD",
            "city": "NEW FRANKLIN",
            "state": "OH",
            "postal_code": "443194654",
            "telephone_number": "330-882-4133"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6075 MANCHESTER RD",
            "city": "NEW FRANKLIN",
            "state": "OH",
            "postal_code": "443194654",
            "telephone_number": "330-882-4133"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHEM",
        "first_name": "DON",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2014-02-19",
        "last_updated": "2014-02-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TS0200X",
            "taxonomy_group": "",
            "desc": "Psychologist, School",
            "state": "OH",
            "license": "UA1004908",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New Franklin, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 19, 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.

Verify at the official NPI Registry.