Gwendolyn McPhaul Short, ATR-BC,LCPAT

Primary specialty

Art TherapistTaxonomy code 221700000X

License

AC0069 Issued in MD

Practice address

914 Silver Spring Ave
Silver Spring, MD 20910-4621

Phone

(301) 588-2787

NPI assigned

Dec 20, 2017

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1513728000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1593388800000",
    "number": "1699281006",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "223 RHODE ISLAND AVE NE",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200026801",
            "telephone_number": "202-652-7535"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "914 SILVER SPRING AVE",
            "city": "SILVER SPRING",
            "state": "MD",
            "postal_code": "209104621",
            "telephone_number": "301-588-2787"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "8535 Edgeworth Dr",
            "address_purpose": "LOCATION",
            "city": "Capitol Heights",
            "state": "MD",
            "postal_code": "207433708",
            "country_code": "US",
            "telephone_number": "202-652-7535",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SHORT",
        "first_name": "GWENDOLYN",
        "middle_name": "MCPHAUL",
        "name_prefix": "Mrs.",
        "credential": "ATR-BC,LCPAT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-12-20",
        "last_updated": "2020-06-29",
        "certification_date": "2020-06-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "221700000X",
            "taxonomy_group": "",
            "desc": "Art Therapist",
            "state": "MD",
            "license": null,
            "primary": false
        },
        {
            "code": "221700000X",
            "taxonomy_group": "",
            "desc": "Art Therapist",
            "state": "MD",
            "license": "AC0069",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sho Health Services Inc.
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• Justine Yumie Short, M.AC, L.AC
• Natallia Shotashvili, M.D.
• Kune Lucien Shousha, HHA
• Leah PL Shoval, MSN, CPNP-PC, IBCLC
• Anne Burdeshaw Shrout, M.D.

• Art Therapist in Silver Spring, MD
• Providers in Silver Spring, MD by specialty
• Art Therapist in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 29, 2020; 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.