John Robert Shirriff, MD

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

License

29651 Issued in MN

Practice address

3460 Washington Drive
Suite 200
Eagan, MN 55122-1338

Phone

(651) 769-6200

Fax

(651) 769-6249

NPI assigned

Sep 17, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

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.

• Bhsi, LLC

  • Clinical Psychologist
  • North Saint Paul, MN
  • NPI 1174635643
  NPD
• Center for Healing and Resilience

  • Marriage & Family Therapist
  • Northfield, MN
  • NPI 1942369111

  Psychiatry

  NPD (past)
• Denise H. Bisanz, P.a.

  • Clinical Social Worker
  • Edina, MN
  • NPI 1336352665
  NPD (past)
• Institute for Therapy & Behavior Change, LTD.

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Edina, MN
  • NPI 1548488331
  NPD (past)

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

{
    "created_epoch": "1158451200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1265155200000",
    "number": "1912004607",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2497 7TH AVENUE E",
            "address_2": "SUITE 101",
            "city": "NORTH SAINT PAUL",
            "state": "MN",
            "postal_code": "551092496",
            "telephone_number": "651-769-6437",
            "fax_number": "651-769-6426"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3460 WASHINGTON DRIVE",
            "address_2": "SUITE 200",
            "city": "EAGAN",
            "state": "MN",
            "postal_code": "551221338",
            "telephone_number": "651-769-6200",
            "fax_number": "651-769-6249"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHIRRIFF",
        "first_name": "JOHN",
        "middle_name": "ROBERT",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-17",
        "last_updated": "2010-02-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "MN",
            "license": "29651",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "931278100",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Samuel Adam Sherer
• Emily Elizabeth Sherman
• Erin Margaret-Campell Shields, DMFT
• Shifa Autism Center LLC
• Shifa Mental Health Services PLLC
• Jokotade Monsurat Shonibare, MA, LAMFT
• Jori L Shore
• Sonja Sue Short, MD
• Michaela Ann Shuttleworth, M.S., CCC-SLP
• Melanie Siefman

• Psychiatry Physician in Eagan, MN
• Providers in Eagan, MN by specialty
• Psychiatry Physician in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 3, 2010; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.