Shirley Shen PHD LLC

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

PY00002736 Issued in WA

Legal business name

SHIRLEY SHEN PHD LLC

Practice address

1701 E Evergreen Blvd
Vancouver, WA 98661-4289

Phone

(503) 998-6238

Fax

(360) 326-1651

NPI assigned

Feb 21, 2012

Organization subpart

No

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

Authorized official

Name

Dr. Shirley K Shen, PH.DNPI 1306921846

Title

President

Phone

(503) 998-6238

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Shirley K Shen, PHD

  • Clinical Psychologist
  • Vancouver, WA
  • NPI 1306921846
  Authorized official Same address or phone

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

{
    "created_epoch": "1329782400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1329782400000",
    "number": "1922371996",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "703 NW 151ST ST",
            "city": "VANCOUVER",
            "state": "WA",
            "postal_code": "986851753",
            "telephone_number": "503-998-6238",
            "fax_number": "360-326-1651"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1701 E EVERGREEN BLVD",
            "city": "VANCOUVER",
            "state": "WA",
            "postal_code": "986614289",
            "telephone_number": "503-998-6238",
            "fax_number": "360-326-1651"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHIRLEY SHEN PHD LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-02-21",
        "last_updated": "2012-02-21",
        "status": "A",
        "authorized_official_last_name": "SHEN",
        "authorized_official_first_name": "SHIRLEY",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "503-998-6238",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PH.D"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist, Clinical",
            "state": "WA",
            "license": "PY00002736",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kirk M Shillinger, DDS
• Ryota Shimada, MD, PHD
• Iris Shimizu
• Rebecca Shine
• Christine Nicole Shinn, LMT
• Montel Dajuan Shirley
• Shiva Seyyadri PLLC
• Maria Shoaib, MD
• Kailey Shoemaker, LMP
• Mahmoud Shoib, MD

• Clinical Psychologist in Vancouver, WA
• Providers in Vancouver, WA by specialty
• Clinical Psychologist in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 21, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.