Active NPI
Mackenzie Lynn Shaul, ED.S.
- School Psychologist
- Avon, IN
National Provider Identifier
1730061029
On this page
Key facts
NPPES NPI Registry- Primary specialty
- School Psychologist
- License
- 000039132
- Practice address
- 7203 E US Highway 36
Avon, IN 46123-7967 - Phone
- (317) 544-6000
- NPI assigned
- Jul 25, 2025
- Last updated
- Jul 25, 2025
- 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 |
|---|---|---|---|---|
| School Psychologist | 103TS0200X | 000039132 | IN | Primary |
Addresses
Primary practice location
7203 E US Highway 36
Avon, IN 46123-7967
Mailing address
1292 Birchwood Way
Greenwood, IN 46143-7342
Phone (317) 413-9093
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 |
|---|---|---|---|
| 000039132 | IN | MD | School Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1753401600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1753401600000",
"number": "1730061029",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1292 BIRCHWOOD WAY",
"city": "GREENWOOD",
"state": "IN",
"postal_code": "461437342",
"telephone_number": "317-413-9093"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7203 E US HIGHWAY 36",
"city": "AVON",
"state": "IN",
"postal_code": "461237967",
"telephone_number": "317-544-6000"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SHAUL",
"first_name": "MACKENZIE",
"middle_name": "LYNN",
"credential": "ED.S.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2025-07-25",
"last_updated": "2025-07-25",
"certification_date": "2025-07-25",
"status": "A"
},
"taxonomies": [
{
"code": "103TS0200X",
"taxonomy_group": "",
"desc": "Psychologist, School",
"state": "IN",
"license": "000039132",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Avon, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 25, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.