Shalene Michele Kirkley, PHD

Primary specialty

Forensic PsychologistTaxonomy code 103TF0200X

License

4075 Issued in AZ

Practice address

810 N 6TH Ave
Phoenix, AZ 85003-1318

Phone

(602) 284-7741

Fax

(480) 219-9685

NPI assigned

Jan 15, 2010

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 5

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Philosophy

State licenses

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

{
    "created_epoch": "1263513600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1283385600000",
    "number": "1811228752",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 94401",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850704401",
            "telephone_number": "602-284-7741",
            "fax_number": "480-219-9685"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "810 N 6TH AVE",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850031318",
            "telephone_number": "602-284-7741",
            "fax_number": "480-219-9685"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KIRKLEY",
        "first_name": "SHALENE",
        "middle_name": "MICHELE",
        "name_prefix": "Dr.",
        "credential": "PHD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-01-15",
        "last_updated": "2010-09-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "AZ",
            "license": "4075",
            "primary": false
        },
        {
            "code": "103TA0400X",
            "taxonomy_group": "",
            "desc": "Psychologist, Addiction (Substance Use Disorder)",
            "state": "AZ",
            "license": "4075",
            "primary": false
        },
        {
            "code": "103TA0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Adult Development & Aging",
            "state": "AZ",
            "license": "4075",
            "primary": false
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "AZ",
            "license": "4075",
            "primary": false
        },
        {
            "code": "103TF0200X",
            "taxonomy_group": "",
            "desc": "Psychologist, Forensic",
            "state": "AZ",
            "license": "4075",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Gary Edward Kirkilas II, D.O.
• Mary Kirkilas, D.O., M.S.
• Imran Kirkland El, LPC
• Gerri Kirkland, RNC, CDCES
• Steve Emerson Kirkland III, PHARMD
• Ashton Kirkman, BSN RN
• Scott Eric Kirkorsky, M.D.
• Dolan Kirkpatrick, SLPA
• Jeffrey David Kirkpatrick, M.D.
• Meghan Kirksey, CCP

• Forensic Psychologist in Phoenix, AZ
• Providers in Phoenix, AZ by specialty
• Forensic Psychologist in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 2, 2010; 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.