Shane Templar Eynon, PH.D.

Primary specialty

PsychologistTaxonomy code 103T00000X

License

PS016312 Issued in PA

Practice address

3905 Ford Rd Ste 6
Philadelphia, PA 19131-2824

Phone

(215) 878-3400

NPI assigned

Jun 19, 2008

Last updated

Jun 24, 2020By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

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

{
    "created_epoch": "1213833600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1592956800000",
    "number": "1730340134",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3905 FORD RD STE 6",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191312824",
            "telephone_number": "215-878-3400"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3905 FORD RD STE 6",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191312824",
            "telephone_number": "215-878-3400"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1061 Harmon Ave",
            "address_purpose": "LOCATION",
            "city": "Fort Stewart",
            "state": "GA",
            "postal_code": "313145641",
            "country_code": "US",
            "telephone_number": "267-664-4625",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "EYNON",
        "first_name": "SHANE",
        "middle_name": "TEMPLAR",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-06-19",
        "last_updated": "2020-06-24",
        "certification_date": "2020-06-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "PA",
            "license": "PS016312",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Eye Wise
• Eyecare for the Family Inc.
• Eyecare Vision, P.C.
• Eyeglass Encounters
• Eyeworks Plus Inc.
• Lillian Eyre, LPC, PHD, MT-BC
• Parker Eyster, MSW
• Alexsandr Eyzips, DMD
• Ez Money Rich LLC
• Ez Money Rich LLC (Dah Home Care)

• Psychologist in Philadelphia, PA
• Providers in Philadelphia, PA by specialty
• Psychologist in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 24, 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.