Active NPI
David Shirley
- Counseling Psychologist
- Prescott, AZ
National Provider Identifier
1972262194
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Counseling Psychologist
- License
- 11407155-2501
- Practice address
- 500 N State Route 89
Prescott, AZ 86313-5001 - Phone
- (928) 445-4860
- NPI assigned
- Dec 15, 2021
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Counseling Psychologist | 103TC1900X | 11407155-2501 | UT | Primary |
Addresses
Primary practice location
500 N State Route 89
Prescott, AZ 86313-5001
Mailing address
3470 Lee Cir Apt 321
Prescott, AZ 86301-0012
Phone (801) 831-3298
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 11407155-2501 | UT | MD | Counseling Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1639526400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1639526400000",
"number": "1972262194",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3470 LEE CIR APT 321",
"city": "PRESCOTT",
"state": "AZ",
"postal_code": "863010012",
"telephone_number": "801-831-3298"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "500 N STATE ROUTE 89",
"city": "PRESCOTT",
"state": "AZ",
"postal_code": "863135001",
"telephone_number": "928-445-4860"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SHIRLEY",
"first_name": "DAVID",
"name_prefix": "Dr.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2021-12-15",
"last_updated": "2021-12-15",
"certification_date": "2021-12-15",
"status": "A"
},
"taxonomies": [
{
"code": "103TC1900X",
"taxonomy_group": "",
"desc": "Psychologist, Counseling",
"state": "UT",
"license": "11407155-2501",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Prescott, AZ
- Alexandra K Shelton, SLPA
- Douglas Lindsay Shepard, MD
- Sherlock Enterprises LLC (Shuttle 'U' Airport Transportation Co)
- Dora J Sherman, D.O.
- Shantell Shipp, FNP-C
- Titiana Shostak-Kinker, L.M.T.
- Ashley Showman, FNP-C
- Monty Shultz, LCSW
- Laurel S Shunk, M.S. - CCC SPEECH
- Shurine Pate, PLLC (Pate Complete Healthcare)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 15, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.