Active NPI
Janice Lynn Shieh, PSY.D.
- Psychologist
- Augusta, GA
National Provider Identifier
1891957007
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- License
- PSY002752
- Practice address
- 3481 Mike Padgett Hwy
Augusta, GA 30906-3815 - Phone
- (478) 251-0207
- NPI assigned
- Jun 29, 2008
- 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 |
|---|---|---|---|---|
| Psychologist | 103T00000X | PSY002752 | GA | Primary |
Addresses
Primary practice location
3481 Mike Padgett Hwy
Augusta, GA 30906-3815
Mailing address
719 Hidden LN
Martinez, GA 30907-3051
Phone (706) 877-1447
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 |
|---|---|---|---|
| PSY002752 | GA | MD | Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1214697600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1214697600000",
"number": "1891957007",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "719 HIDDEN LN",
"city": "MARTINEZ",
"state": "GA",
"postal_code": "309073051",
"telephone_number": "706-877-1447"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3481 MIKE PADGETT HWY",
"city": "AUGUSTA",
"state": "GA",
"postal_code": "309063815",
"telephone_number": "478-251-0207"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SHIEH",
"first_name": "JANICE",
"middle_name": "LYNN",
"name_prefix": "Dr.",
"credential": "PSY.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2008-06-29",
"last_updated": "2008-06-29",
"status": "A"
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "GA",
"license": "PSY002752",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Augusta, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 29, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.