Active NPI
Shelly Liaros, ED.S., NCSP
- School Psychologist
- Yorktown, VA
National Provider Identifier
1780299461
On this page
Key facts
NPPES NPI Registry- Primary specialty
- School Psychologist
- License
- 0803000173
- Practice address
- 405 Grafton Dr
Yorktown, VA 23692-2155 - Phone
- (757) 597-4818
- NPI assigned
- Sep 10, 2020
- Sex
- Female
- Sole proprietor
- Yes
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 | 0803000173 | VA | Primary |
Addresses
Primary practice location
405 Grafton Dr
Yorktown, VA 23692-2155
Mailing address
302 Dare Rd
Yorktown, VA 23692-2716
Phone (757) 597-4818
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 |
|---|---|---|---|
| 0803000173 | VA | MD | School Psychologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| York County School Division | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Local Education Agency (LEA)
- Yorktown, VA
- NPI 1417974452
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1599696000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1599696000000",
"number": "1780299461",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "302 DARE RD",
"city": "YORKTOWN",
"state": "VA",
"postal_code": "236922716",
"telephone_number": "757-597-4818"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "405 GRAFTON DR",
"city": "YORKTOWN",
"state": "VA",
"postal_code": "236922155",
"telephone_number": "757-597-4818"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LIAROS",
"first_name": "SHELLY",
"credential": "ED.S., NCSP",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2020-09-10",
"last_updated": "2020-09-10",
"certification_date": "2020-09-10",
"status": "A"
},
"taxonomies": [
{
"code": "103TS0200X",
"taxonomy_group": "",
"desc": "Psychologist, School",
"state": "VA",
"license": "0803000173",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Yorktown, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 10, 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.