SHINALL VAN ROSS


Address: 794 Memphis St, Aurora, CO 80011-4543
Phone: 3033609252

SHINALL VAN ROSS (NPI# 1306460795) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1306460795
Entity Type Individual
Full Name SHINALL VAN ROSS
Practice Address 794 Memphis St
Aurora
CO 80011-4543
Practice Telephone 3033609252
Mailing Telephone 3033609252
Enumeration Date 2020-06-02
Last Update Date 2020-06-02
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 103TS0200X Psychologist
Specialization: School
Behavioral Health & Social Service Providers

Other Provider Identifier

State Issuer Identifier Type Code
CO 1699217984 05

Office Location

Street Address 794 MEMPHIS ST
City AURORA
State CO
Zip Code 80011-4543

Providers in the same location

NPI Name Taxonomy Address Enumeration
1699217984 Caring Voices Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities 794 Memphis St, Aurora, CO 80011-4543 2016-11-17
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Taxonomy Information

Taxonomy Code 103TS0200X
Grouping Behavioral Health & Social Service Providers
Classification Psychologist
Specialization School

Taxonomy Definition

Definition to come...

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Competitor

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City AURORA
Zip Code 80011

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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