Brenda Shipley

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

26690 Issued in TX

Practice address

10314 Bent Tree Dr
Rowlett, TX 75089-8394

Phone

(972) 463-7970

Fax

(972) 463-7970

NPI assigned

Feb 28, 2007

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

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in TX

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 1

Specialty

Clinical Social Worker

Education

Other, 1996

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Michelle Rinella, PSYD, PAGroup PAC ID 5395060891, 9 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: comprehensivepsychologicalservices.brendashipley@144579.advancedmd-direct.com

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.

• Michelle Rinella, PSYD, PA

  • Psychologist
  • Plano, TX
  • NPI 1427448695
  Medicare reassignment Care Compare group
• CPST Healthcare, LLC

  • Psychologist
  • Fort Worth, TX
  • NPI 1467211862
  Medicare reassignment NPD

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

{
    "created_epoch": "1172620800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1631491200000",
    "number": "1760519342",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10314 BENT TREE DR",
            "city": "ROWLETT",
            "state": "TX",
            "postal_code": "750898394",
            "telephone_number": "972-463-7970",
            "fax_number": "972-463-7970"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10314 BENT TREE DR",
            "city": "ROWLETT",
            "state": "TX",
            "postal_code": "750898394",
            "telephone_number": "972-463-7970",
            "fax_number": "972-463-7970"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHIPLEY",
        "first_name": "BRENDA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-02-28",
        "last_updated": "2021-09-13",
        "certification_date": "2021-09-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "TX",
            "license": "26690",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "TX",
            "license": "26690",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "040976502",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Carl William Shaffstall Jr., DC
• Kimberly Ann Shahariyar
• Sharon Redd Inc
• Katie Lynn Sharp, PHD
• Mary Rose Shiner, MS, RDN/LD
• Brandon Edward Shoup
• John Chester Siachitema
• Eunice Sias
• Elizabeth Sigala, D.D.S
• Signethealthcare Services LLC

• Clinical Social Worker in Rowlett, TX
• Providers in Rowlett, TX by specialty
• Clinical Social Worker in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 13, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.