Individual provider Active NPI

Laura Slap Shelton, PSY.D

  • Clinical Psychologist
  • Biddeford, ME
National Provider Identifier
1922176106
Registry record updated Dec 22, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
PS980 Issued in ME
Practice address
28 West Cole Road
Biddeford, ME 04005
Phone
(207) 283-9377
Fax
(207) 282-5895
NPI assigned
Dec 4, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 22, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X PS980 ME Primary

Addresses

Primary practice location

28 West Cole Road
Biddeford, ME 04005

Mailing address

28 West Cole Road
Biddeford, ME 04005
Phone (207) 283-9377

Other identifiers 2

IdentifierTypeStateIssuer
134670000MedicaidME
134670001MedicaidME

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in ME
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.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050818000773 ME Practitioner - Clinical Psychologist 7012947054 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 1989
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

28 W Cole Rd
Suite a
Biddeford, ME 04005-9428
Phone (207) 294-7471

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PS980MEMDClinical Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Laura Slap-Shelton, Psy.D,PA,LLC Clinical CurrentSince Apr 1, 2012 Accepting new patients
Peds Clinic, Inc Past Accepting new patients

Locations

28 W Cole Rd
Ste A
Biddeford, ME 04005
Phone (207) 283-1325

28 W Cole Rd
Biddeford, ME 04005
Phone (207) 284-6114

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1165190400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1292976000000",
    "number": "1922176106",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "28 WEST COLE ROAD",
            "city": "BIDDEFORD",
            "state": "ME",
            "postal_code": "04005",
            "telephone_number": "207-283-9377",
            "fax_number": "207-282-5895"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "28 WEST COLE ROAD",
            "city": "BIDDEFORD",
            "state": "ME",
            "postal_code": "04005",
            "telephone_number": "207-283-9377",
            "fax_number": "207-282-5895"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SLAP SHELTON",
        "first_name": "LAURA",
        "credential": "PSY.D",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-12-04",
        "last_updated": "2010-12-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "ME",
            "license": "PS980",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "134670000",
            "state": "ME"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "134670001",
            "state": "ME"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Biddeford, ME

Sources for this page

Verify at the official NPI Registry.