Karen Shipley, PSY.D.

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

2013007642 Issued in MO

Practice address

210A Saint James St
North Village Arts District
Columbia, MO 65201-4954

Phone

(603) 918-9880

NPI assigned

Feb 9, 2007

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1170979200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1462320000000",
    "number": "1962543058",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "210A SAINT JAMES ST",
            "address_2": "NORTH VILLAGE ARTS DISTRICT",
            "city": "COLUMBIA",
            "state": "MO",
            "postal_code": "652014954",
            "telephone_number": "603-918-9880"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "210A SAINT JAMES ST",
            "address_2": "NORTH VILLAGE ARTS DISTRICT",
            "city": "COLUMBIA",
            "state": "MO",
            "postal_code": "652014954",
            "telephone_number": "603-918-9880"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHIPLEY",
        "first_name": "KAREN",
        "name_prefix": "Dr.",
        "credential": "PSY.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-02-09",
        "last_updated": "2016-05-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC2200X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical Child & Adolescent",
            "state": "NH",
            "license": "1139",
            "primary": false
        },
        {
            "code": "103TC2200X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical Child & Adolescent",
            "state": "CA",
            "license": "24150",
            "primary": false
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "MO",
            "license": "2013007642",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Karlee Ann Shettlesworth, OTR/L
• Nicole Jo Shields, WHNP-BC
• Cheryl Lynn Shigaki, PHD
• Fnu Shilpa, MD
• Haley Shinn, MT-BC
• Johnny Shipp
• Joseph M Shipp, PA
• Jonathan Shirshekan
• Erika Tatum Shock
• Leslie Shock

• Clinical Psychologist in Columbia, MO
• Providers in Columbia, MO by specialty
• Clinical Psychologist in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 4, 2016; 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.