Constance Jean Sheltren, PH.D.

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

PY0568 Issued in NV

Practice address

623 W Washington St Ste a
Carson City, NV 89703-3837

Phone

(775) 884-3600

Fax

(774) 884-3601

NPI assigned

Apr 17, 2007

Last updated

Aug 8, 2012By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

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.

Opted out of Medicare

Yes, effective Oct 1, 2014 through Oct 1, 2026

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Philosophy

State licenses

Practice roles

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.

• Constance Sheltren, PH.D.

  • Clinical Psychologist
  • Carson City, NV
  • NPI 1871845081
  NPD (past) Authorized official

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

{
    "created_epoch": "1176768000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1344384000000",
    "number": "1861618050",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "623 W WASHINGTON ST STE A",
            "city": "CARSON CITY",
            "state": "NV",
            "postal_code": "897033837",
            "telephone_number": "775-884-3600",
            "fax_number": "774-884-3601"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "623 W WASHINGTON ST STE A",
            "city": "CARSON CITY",
            "state": "NV",
            "postal_code": "897033837",
            "telephone_number": "775-884-3600",
            "fax_number": "774-884-3601"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHELTREN",
        "first_name": "CONSTANCE",
        "middle_name": "JEAN",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-04-17",
        "last_updated": "2012-08-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "MFC 25836",
            "primary": false
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "NV",
            "license": "PY0568",
            "primary": true
        },
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "CA",
            "license": "PSY 22839",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Corey Sharp
• Tiffany Sharpe
• Ashton Shaul
• Edward John Shelley, LCSW
• Nilza Shellhamer
• Cody Elias Shepard
• Edie Shierant
• Emily Rachel Shipley, MD
• Eugenia Shipwart
• Brandon Shirey, LDO

• Clinical Psychologist in Carson City, NV
• Providers in Carson City, NV by specialty
• Clinical Psychologist in Nevada

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 8, 2012; 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; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.