Individual provider Active NPI

Ashley Hampton Shields, PH.D.

  • Clinical Psychologist
  • Hershey, PA
National Provider Identifier
1699192849
Registry record updated Sep 22, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
PS019991 Issued in PA
Practice address
22 Northeast Dr
Hershey, PA 17033-2732
Phone
(800) 243-1455
Fax
(717) 531-6250
NPI assigned
Mar 26, 2014
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 22, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X 0810006293 VA
Clinical Psychologist 103TC0700X PS019991 PA Primary

Addresses

Primary practice location

22 Northeast Dr
Hershey, PA 17033-2732

Mailing address

500 University Dr
Hershey, PA 17033-2360
Phone (717) 531-5208

Other practice location 1

629 Cedar Creek Grade Ste B
Winchester, VA 22601-2786
Phone (540) 678-3950

Other names 1

  • Ashley Sierra Hampton Former name

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address ashields461869@direct.healthsystem.virginia.edu Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA, PA2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20200831002936 VA Practitioner - Clinical Psychologist 5890009518 Reassigns benefits to 2 organizations
I20230928004231 PA Practitioner - Clinical Psychologist 5890009518 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
PS019991PAMDClinical Psychologist
0810006293VAMDClinical Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
The Milton S Hershey Medical Center Physicians Group Current Accepting new patients
The Milton S Hershey Medical Center Physicians Group Clinical CurrentSince Sep 25, 2023 Accepting new patients
Uva Community Health Medical Group, LLC CurrentSince Jun 1, 2022 Accepting new patients
University of Virginia Physicians Group CurrentSince Aug 26, 2020 Accepting new patients
Uva Community Health Medical Group, LLC CurrentSince Jun 1, 2022 Accepting new patients
The Milton S Hershey Medical Center Physician Group CurrentSince Sep 25, 2023 Accepting new patients

Locations

500 University Dr
#410
Hershey, PA 17033
Phone (717) 531-1159

500 University Dr
Hershey, PA 17033
Phone (717) 531-8181

500 University Dr
#A410
Hershey, PA 17033
Phone (717) 531-8131

1215 Lee St
Fl 8
Charlottesvle, VA 22908
Phone (434) 924-2500

4105 Lewis and Clark Dr
Charlottesvle, VA 22911

1215 Lee St
Charlottesvle, VA 22908
Phone (434) 924-0211

629 Cedar Creek Grade
Ste B
Winchester, VA 22601
Phone (540) 678-3950

Organizations & group practices 6

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1395792000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1695340800000",
    "number": "1699192849",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "500 UNIVERSITY DR",
            "city": "HERSHEY",
            "state": "PA",
            "postal_code": "170332360",
            "telephone_number": "717-531-5208",
            "fax_number": "717-531-0119"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "22 NORTHEAST DR",
            "city": "HERSHEY",
            "state": "PA",
            "postal_code": "170332732",
            "telephone_number": "800-243-1455",
            "fax_number": "717-531-6250"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "629 Cedar Creek Grade Ste B",
            "address_purpose": "LOCATION",
            "city": "Winchester",
            "state": "VA",
            "postal_code": "226012786",
            "country_code": "US",
            "telephone_number": "540-678-3950",
            "fax_number": "540-678-3954",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SHIELDS",
        "first_name": "ASHLEY",
        "middle_name": "HAMPTON",
        "credential": "PH.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-03-26",
        "last_updated": "2023-09-22",
        "certification_date": "2023-09-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "VA",
            "license": "0810006293",
            "primary": false
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "PA",
            "license": "PS019991",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "ashields461869@direct.healthsystem.virginia.edu",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "629 Cedar Creek Grade Ste B",
            "city": "Winchester",
            "state": "VA",
            "country_code": "US",
            "postal_code": "226012786",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "ASHLEY",
            "last_name": "HAMPTON",
            "middle_name": "SIERRA",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Hershey, PA

Sources for this page

Verify at the official NPI Registry.