Individual provider Active NPI

Sheri Sloggett Shanks, PSY.D.

  • Clinical Psychologist
  • Honolulu, HI
National Provider Identifier
1962457317
Registry record updated Apr 12, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
PSY821 Issued in HI
Practice address
1 Keahole PL Apt 2208
Honolulu, HI 96825-3418
Phone
(808) 735-2494
Fax
(866) 334-4352
NPI assigned
May 24, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 12, 2021

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 PSY821 HI Primary

Addresses

Primary practice location

1 Keahole PL Apt 2208
Honolulu, HI 96825-3418

Mailing address

PO Box 25685
Honolulu, HI 96825-0685
Phone (808) 735-2494

Other identifiers 1

IdentifierTypeStateIssuer
0024OtherHIHMSA PROVIDER #

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in HI
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
I20040405000203 HI Practitioner - Clinical Psychologist 8921091216 Practice locations: Honolulu, HI

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

1 Keahole PL
Apt 2208
Honolulu, HI 96825-3401

1 Keahole PL
Unit 2008
Honolulu, HI 96825-3415
Phone (808) 382-3769

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
PSY821HIMDClinical Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Barbara B. Sloggett, PH.D., Inc. PastSince Sep 21, 2015 Accepting new patients

Organizations & group practices 1

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": "1148428800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1618185600000",
    "number": "1962457317",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 25685",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "968250685",
            "telephone_number": "808-735-2494",
            "fax_number": "866-334-4352"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 KEAHOLE PL APT 2208",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "968253418",
            "telephone_number": "808-735-2494",
            "fax_number": "866-334-4352"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHANKS",
        "first_name": "SHERI",
        "middle_name": "SLOGGETT",
        "name_prefix": "Dr.",
        "credential": "PSY.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-05-24",
        "last_updated": "2021-04-12",
        "certification_date": "2021-04-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "HI",
            "license": "PSY821",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HMSA PROVIDER #",
            "identifier": "0024",
            "state": "HI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Honolulu, HI

Sources for this page

Verify at the official NPI Registry.