JUSTIN SHELTON (NPI# 1588108468) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1588108468 |
| Entity Type | Individual |
| Full Name | JUSTIN SHELTON |
| Credential | PSY.D. |
| Practice Address |
23425 Commerce Park Ste 104 Beachwood OH 44122-5848 |
| Practice Telephone | 2168312900 |
| Practice Fax Number | 2168314306 |
| Mailing Telephone | 2168312900 |
| Mailing Fax Number | 2168314306 |
| Enumeration Date | 2016-12-12 |
| Last Update Date | 2016-12-12 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103T00000X | Psychologist | 7531 | OH | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124432273 | Justin Alan Shelton | Obstetrics & Gynecology | 5501 Old York Rd, Albert Einstein Medical Center, Philadelphia, PA 19141-3018 | 2014-06-17 |
| 1992998827 | Justin Shelton | Physical Therapist | 300 E Sonterra Blvd, Ste# 410, San Antonio, TX 78258-3971 | 2007-08-23 |
| Street Address |
23425 COMMERCE PARK STE 104 |
| City | BEACHWOOD |
| State | OH |
| Zip Code | 44122-5848 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629004387 | Larissa Elgudin | Psychiatry & Neurology | 23425 Commerce Park Ste 104, Beachwood, OH 44122-5848 | 2006-06-24 |
| 1255985651 | Julia Ariel Leb | Counselor | 23425 Commerce Park Ste 104, Beachwood, OH 44122-5848 | 2019-07-25 |
| 1710472691 | Sarah Jones | Psychologist | 23425 Commerce Park Ste 104, Beachwood, OH 44122-5848 | 2018-06-24 |
| 1801390331 | Brittany Sommers | Psychologist | 23425 Commerce Park Ste 104, Beachwood, OH 44122-5848 | 2018-03-20 |
| 1457440257 | Lois Lorraine Nicholson | Clinical Nurse Specialist | 23425 Commerce Park Ste 104, Beachwood, OH 44122-5848 | 2006-10-12 |
| 1639283518 | Linda Marie Debalzo | Clinical Nurse Specialist | 23425 Commerce Park Ste 104, Beachwood, OH 44122-5848 | 2006-08-18 |
| 1265463053 | Abraham W Wolf | Psychologist | 23425 Commerce Park Ste 104, Beachwood, OH 44122-5848 | 2006-07-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760083174 | Sophia Denise Moncrieffe-jordan | Nurse Practitioner | 23511 Chargin Blvd, Apt. E312, Beachwood, OH 44122 | 2020-11-03 |
| 1447864400 | Resilient Bodies LLC | Massage Therapist | 24300 Chagrin Blvd #312, Beachwood, OH 44122 | 2020-09-06 |
| 1215576087 | Hni Emergency Services of Ohio, LLC | Nurse Practitioner | 22501 Chagrin Blvd, Beachwood, OH 44122 | 2019-12-27 |
| 1013555648 | Barbara L Ekelman Phd Inc | Psychologist | 24100 Chagrin Blvd, Suite 385, Beachwood, OH 44122 | 2019-12-13 |
| 1417599770 | Janise Moore | Technician | 19600 Gladstone Rd, Warrensville Hts, OH 44122 | 2019-10-08 |
| 1598312704 | Nizar Andria | Student in an Organized Health Care Education/Training Program | Cedar Rd 27050, Apartment 515, Beachwood, OH 44122 | 2019-08-22 |
| 1437703998 | Malinda Ann Davis | Social Worker | 20600 Chagrin Blvd Suite 320, Shaker Heights, OH 44122 | 2019-08-01 |
| 1891265864 | Karlan Champagne | Case Management | 23215 Commerence Park, 306, Beachwood, OH 44122 | 2018-12-03 |
| 1952896565 | Donna Pinkney | Counselor | 20550 University Blvd Apt 206, Shaker Hts, OH 44122 | 2018-06-26 |
| 1255825857 | Elizabeth Anne Donathan | Registered Nurse | 4100 Warrensville Center Rd Ste 101, Warrensville Heights, OH 44122 | 2018-06-18 |
| Find all providers in zip 44122 | ||||
| Taxonomy Code | 103T00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| A psychologist is an individual who is licensed to practice psychology which is defined as the observation, description, evaluation, interpretation, and modification of human behavior by the application of psychological principles, methods, and procedures, for the purpose of preventing or eliminating symptomatic, maladaptive, or undesired behavior and of enhancing interpersonal relationships, work and life adjustment, personal effectiveness, behavioral health, and mental health. The practice of psychology includes, but is not limited to, psychological testing and the evaluation or assessment of personal characteristics, such as intelligence, personality, abilities, interests, aptitudes, and neuropsychological functioning; counseling, psychoanalysis, psychotherapy, hypnosis, biofeedback, and behavior analysis and therapy; diagnosis and treatment of mental and emotional disorder or disability, alcoholism and substance abuse, disorders of habit or conduct, as well as of the psychological aspects of physical illness, accident, injury, or disability; and psycheducational evaluation, therapy, remediation, and consultation. Psychological services may be rendered to individuals, families, groups and the public. |
| Notes: Source: American Psychological Association [1/1/2007: modified definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013555648 | Barbara L Ekelman Phd Inc | Psychologist | 24100 Chagrin Blvd, Suite 385, Beachwood, OH 44122 | 2019-12-13 |
| 1063977189 | Benjamin Lehman Miller | Psychologist | 21403 Chagrin Blvd Ste 104, Beachwood, OH 44122-5322 | 2019-02-02 |
| 1780197368 | Ashley Bock | Psychologist | 25700 Science Park Dr Ste 200, Beachwood, OH 44122-7328 | 2017-11-06 |
| 1326570490 | William C Hale | Psychologist | 3789b Green Rd, Beachwood, OH 44122-5705 | 2017-03-29 |
| 1184008419 | Motor Control Restoration | Psychologist | 21403 Chagrin Blvd Ste 212, Beachwood, OH 44122-5322 | 2015-07-16 |
| 1568776987 | Andrea Stephenson Burland | Psychologist | 3659 Green Rd Ste 120, Beachwood, OH 44122 | 2010-07-27 |
| 1497928022 | Paula J Britton | Psychologist | 23250 Chagrin Blvd Bldg 5, Suite 310, Beachwood, OH 44122-5470 | 2008-04-03 |
| 1043490196 | Edward P Friedman | Psychologist | 3619 Park East Drive, #313, Beachwood, OH 44122 | 2007-11-06 |
| 1215145016 | David Alex Bailey | Psychologist | 24244 Wendover Dr, Beachwood, OH 44122-1580 | 2007-05-18 |
| 1831218791 | Jane R Buder Shapiro | Psychologist | 23210 Chagrin Blvd Ste 211, Beachwood, OH 44122-5425 | 2007-03-29 |
| Find all providers in BEACHWOOD | ||||
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| 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.