Active NPI
Shawn Willis Hales, PSYD
- Psychologist
- Baltimore, MD
National Provider Identifier
1831166974
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- License
- 3352
- Practice address
- 1111 Washington Blvd
Baltimore, MD 21230 - Phone
- (410) 467-6040
- Fax
- (410) 783-0569
- NPI assigned
- Mar 8, 2006
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Psychologist | 103T00000X | 3352 | MD | Primary |
Addresses
Primary practice location
1111 Washington Blvd
Baltimore, MD 21230
Mailing address
2204 Maryland Ave
Baltimore, MA 21218
Phone (410) 467-6040
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 3352 | MD | MD | Psychologist |
| 03352 | MD | MD | Speech-Language Pathologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1141776000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1783900800000",
"number": "1831166974",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2204 MARYLAND AVE",
"city": "BALTIMORE",
"state": "MA",
"postal_code": "21218",
"telephone_number": "410-467-6040",
"fax_number": "410-735-5898"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1111 WASHINGTON BLVD",
"city": "BALTIMORE",
"state": "MD",
"postal_code": "21230",
"telephone_number": "410-467-6040",
"fax_number": "410-783-0569"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HALES",
"first_name": "SHAWN",
"middle_name": "WILLIS",
"name_prefix": "Dr.",
"credential": "PSYD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-03-08",
"last_updated": "2026-07-13",
"status": "A"
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "MD",
"license": "3352",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Baltimore, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.