Individual provider Active NPI

Shayna Anne Bendle, MA, LLP

  • Clinical Psychologist
  • Flint, MI
National Provider Identifier
1821522640
Registry record updated Oct 4, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
6361007108 Issued in MI
Practice address
1286 S Linden Rd
Flint, MI 48532-3457
Phone
(810) 407-7403
NPI assigned
Apr 18, 2017
Last updated
Oct 4, 2022By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 4, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X 6301015825 MI
Clinical Psychologist 103TC0700X 6361007108 MI Primary

Addresses

Primary practice location

1286 S Linden Rd
Flint, MI 48532-3457

Mailing address

2094 W Maple Ave
Flint, MI 48507-3502
Phone (810) 423-5849

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
Credentials
Master of Arts

State licenses

LicenseStateTypeSpecialty
6301015825MIMDClinical Psychologist
6361007108MIMDClinical Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Shannon Cranston PLLC Clinical 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1492473600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1664841600000",
    "number": "1821522640",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2094 W MAPLE AVE",
            "city": "FLINT",
            "state": "MI",
            "postal_code": "485073502",
            "telephone_number": "810-423-5849"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1286 S LINDEN RD",
            "city": "FLINT",
            "state": "MI",
            "postal_code": "485323457",
            "telephone_number": "810-407-7403"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BENDLE",
        "first_name": "SHAYNA",
        "middle_name": "ANNE",
        "name_prefix": "Mrs.",
        "credential": "MA, LLP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-04-18",
        "last_updated": "2022-10-04",
        "certification_date": "2022-10-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "MI",
            "license": "6301015825",
            "primary": false
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "MI",
            "license": "6361007108",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Flint, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 4, 2022; 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.