NPIMap

Organization Active NPI

Shamika Hall, PH.D. & Associates, PLLC

  • Clinical Psychologist
  • Portage, MI
National Provider Identifier
1942593744
Registry record updated Mar 16, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
6301014087 Issued in MI
Legal business name
SHAMIKA HALL, PH.D. & ASSOCIATES, PLLC
Practice address
7901 S. 12TH St.
Suite 201
Portage, MI 49024
Phone
(269) 588-0750
Fax
(269) 324-5822
NPI assigned
May 26, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 16, 2015

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

Authorized official

Name
Dr. Shamika Yoionde Hall, PH.D.
Title
Licensed Psychologist
Phone
(269) 588-0750

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical PsychologistGroup: 193400000X SINGLE SPECIALTY GROUP 103TC0700X 6301014087 MI Primary
Community/Behavioral Health Agency 251S00000X 6301014087 MI

Addresses

Primary practice location

7901 S. 12TH St.
Suite 201
Portage, MI 49024

Mailing address

7901 S. 12TH St.
Suite 201
Portage, MI 49024
Phone (269) 588-0750

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1306368000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1426464000000",
    "number": "1942593744",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7901 S. 12TH ST.",
            "address_2": "SUITE 201",
            "city": "PORTAGE",
            "state": "MI",
            "postal_code": "49024",
            "telephone_number": "269-588-0750",
            "fax_number": "269-324-5822"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7901 S. 12TH ST.",
            "address_2": "SUITE 201",
            "city": "PORTAGE",
            "state": "MI",
            "postal_code": "49024",
            "telephone_number": "269-588-0750",
            "fax_number": "269-324-5822"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHAMIKA HALL, PH.D. & ASSOCIATES, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-05-26",
        "last_updated": "2015-03-16",
        "status": "A",
        "authorized_official_last_name": "HALL",
        "authorized_official_first_name": "SHAMIKA",
        "authorized_official_middle_name": "YOIONDE",
        "authorized_official_title_or_position": "LICENSED PSYCHOLOGIST",
        "authorized_official_telephone_number": "269-588-0750",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PH.D."
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist, Clinical",
            "state": "MI",
            "license": "6301014087",
            "primary": true
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "MI",
            "license": "6301014087",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Portage, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 16, 2015; 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.