Shirley F Shiff, PSYD HSPP

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

20040729 Issued in IN

Practice address

8424 Victoria Woods PL
Fort Wayne, IN 46825-6510

Phone

(260) 489-0292

Fax

(260) 489-3060

NPI assigned

Feb 28, 2007

Last updated

Aug 16, 2007By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Indiana Geriatric Resources, Inc.

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Anderson, IN
  • NPI 1770581746
  NPD (past)
• Indiana University Health Bloomington Inc

  dba Iu Health Bloomington

  • Psychologist
  • Bloomington, IN
  • NPI 1922032051
  NPD (past)
• Psychological Laboratories of Indianapolis, PC

  • Psychologist
  • Indianapolis, NE
  • NPI 1295853992
  NPD (past)

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

{
    "created_epoch": "1172620800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1187222400000",
    "number": "1982732491",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8424 VICTORIA WOODS PL",
            "city": "FORT WAYNE",
            "state": "IN",
            "postal_code": "468256510",
            "telephone_number": "260-489-0292",
            "fax_number": "260-489-3060"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8424 VICTORIA WOODS PL",
            "city": "FORT WAYNE",
            "state": "IN",
            "postal_code": "468256510",
            "telephone_number": "260-489-0292",
            "fax_number": "260-489-3060"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHIFF",
        "first_name": "SHIRLEY",
        "middle_name": "F",
        "name_prefix": "Dr.",
        "credential": "PSYD HSPP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-02-28",
        "last_updated": "2007-08-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "IN",
            "license": "20040729",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100210420C",
            "state": "IN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "P00249943",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Richard Sherwood
• Rahul Ramesh Shetty, M.D.
• Shield Physical Therapy and Injury Prevention LLC (Shield PT)
• Juli Jo Shields, CCC-SLP
• Kenneth L. Shields, LMHC
• Kathi Shifferly, REGISTRED NURSE
• Eugene Yu Sheng Shih, M.D.
• Brian Shilts, MS, LMHC, CSAYC
• S. Christopher Shim, M.D.
• Hahns L Shin, MD

• Clinical Psychologist in Fort Wayne, IN
• Providers in Fort Wayne, IN by specialty
• Clinical Psychologist in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 16, 2007; 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.