MM Shober Inc

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

License

PY00002085 Issued in WA

Legal business name

MM SHOBER INC

Practice address

555 McDonald St
Friday Harbor, WA 98250-7963

Phone

(360) 317-8752

NPI assigned

Feb 11, 2008

Organization subpart

No

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

Authorized official

Name

Dr. Michelle M. Shober, PSY.D.

Title

President

Phone

(360) 317-8752

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1202688000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1202688000000",
    "number": "1730357997",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "945 VICTORIA DR",
            "city": "FRIDAY HARBOR",
            "state": "WA",
            "postal_code": "982508876",
            "telephone_number": "360-317-8752"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "555 MCDONALD ST",
            "city": "FRIDAY HARBOR",
            "state": "WA",
            "postal_code": "982507963",
            "telephone_number": "360-317-8752"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MM SHOBER INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-02-11",
        "last_updated": "2008-02-11",
        "status": "A",
        "authorized_official_last_name": "SHOBER",
        "authorized_official_first_name": "MICHELLE",
        "authorized_official_middle_name": "M.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "360-317-8752",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PSY.D."
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "WA",
            "license": "PY00002085",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Michael T. Horn, DDS, PLLC
• Natalie Miller Nawn, LSWAIC
• Lori Tucker Miller, RDH
• Clinton Wade Mills, MSW, RC
• Misty Gibson
• Susan L Nichols, OTR/L
• Sophia Nyama Nilan
• Anna Noel, MSW
• Kathryn Richey Nollman
• Stacie Lynne Nordrum, AU.D.

• Community/Behavioral Health Agency in Friday Harbor, WA
• Providers in Friday Harbor, WA by specialty
• Community/Behavioral Health Agency in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 11, 2008; 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.