Shirley Ann Taffel, PSYCHOLOGIST

Primary specialty

PsychologistTaxonomy code 103T00000X

License

2491 Issued in NC

Practice address

14 Hoot Owl Rd
Black Mountain, NC 28711-8721

Phone

(828) 253-1004

Fax

(828) 412-5566

NPI assigned

Sep 7, 2006

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 3

Medicare fee-for-service enrollment

Enrolled in NC

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

Specialty

Clinical Psychologist

Education

Other, 1996

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Practice addresses (Care Compare)

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 and National Provider Directory roles.

• Ingrid Diederen PHD PA

  • Adult Mental Health Clinic/Center
  • Asheville, NC
  • NPI 1114229275
  NPD (past)
• Pathways - Life After Cancer

  • Clinical Social Worker
  • Asheville, NC
  • NPI 1427261536

  Psychologist

  NPD (past)

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

{
    "created_epoch": "1157587200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1626912000000",
    "number": "1992809347",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "417 BILTMORE AVENUE",
            "address_2": "SUITE 5C",
            "city": "ASHEVILLE",
            "state": "NC",
            "postal_code": "28801",
            "telephone_number": "828-253-1004",
            "fax_number": "828-253-1456"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14 HOOT OWL RD",
            "city": "BLACK MOUNTAIN",
            "state": "NC",
            "postal_code": "287118721",
            "telephone_number": "828-253-1004",
            "fax_number": "828-412-5566"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TAFFEL",
        "first_name": "SHIRLEY",
        "middle_name": "ANN",
        "credential": "PSYCHOLOGIST",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-09-07",
        "last_updated": "2021-07-22",
        "certification_date": "2021-07-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "NC",
            "license": "2491",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BS",
            "identifier": "0434L",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED HEALTH CARE",
            "identifier": "6193924",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN",
            "identifier": "2819758B",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Sunshine Pharmacy, Inc.
• Mark Swann, CCC-SLP
• Nikol Anne Swann, LCMHCA
• Swannanoa Valley Chiropractic Clinic, PA
• Swannanoa Valley Counseling, PLLC
• Traci Talbot, LCSW
• Tar Heel Apothecaries Inc
• Tarheel Apothecaries Inc
• Kari Kay Taylor, PH.D.
• Victoria Theisen, LMBT

• Psychologist in Black Mountain, NC
• Providers in Black Mountain, NC by specialty
• Psychologist in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 22, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.