DR. SHANE SPEARS (NPI# 1912307224) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1912307224 |
| Entity Type | Individual |
| Full Name | DR. SHANE SPEARS |
| Credential | PSY.D. |
| Practice Address |
791 Chambers Rd Aurora CO 80011-7112 |
| Mailing Address |
11059 E Bethany Dr Aurora CO 80014-2622 |
| Practice Telephone | 3036172300 |
| Mailing Telephone | 3035253375 |
| Enumeration Date | 2014-08-25 |
| Last Update Date | 2015-12-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103T00000X | Psychologist | PSY.0004325 | CO | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336119916 | Shane Foree Spears | Physician Assistant | 2950 Squalicum Pkwy, Bellingham, WA 98225-1857 | 2006-01-25 |
| Street Address |
791 CHAMBERS RD |
| City | AURORA |
| State | CO |
| Zip Code | 80011-7112 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811997968 | Anne O. Garrett-mills | Psychiatry & Neurology | 791 Chambers Rd, Aurora, CO 80011-7112 | 2005-07-29 |
| 1588273049 | Kellee Bell | Case Manager/Care Coordinator | 791 Chambers Rd, Aurora, CO 80011-7112 | 2020-07-29 |
| 1427698984 | Jesse Quinn Weight | Counselor | 791 Chambers Rd, Aurora, CO 80011-7112 | 2020-01-13 |
| 1124664339 | Metro Community Provider Network, Inc. | Clinic/Center | 791 Chambers Rd, Aurora, CO 80011-7112 | 2019-11-22 |
| 1780220996 | Metro Community Provider Network, Inc. | Clinic/Center | 791 Chambers Rd, Aurora, CO 80011-7112 | 2019-11-22 |
| 1366087025 | Carolina Matus | Registered Nurse | 791 Chambers Rd, Aurora, CO 80011-7112 | 2019-11-16 |
| 1902449911 | Bianca Spencer-johnson | Case Manager/Care Coordinator | 791 Chambers Rd, Aurora, CO 80011-7112 | 2019-10-22 |
| 1508428087 | Joyce Ann Viswanathan Prakash | Licensed Practical Nurse | 791 Chambers Rd, Aurora, CO 80011-7112 | 2019-07-03 |
| 1609437813 | Caroline Victoria Hysaw | Case Manager/Care Coordinator | 791 Chambers Rd, Aurora, CO 80011-7112 | 2019-06-27 |
| 1225698947 | Gabryelle Samone Johnson | Case Manager/Care Coordinator | 791 Chambers Rd, Aurora, CO 80011-7112 | 2019-06-14 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417590985 | Trang-anh Thuy Do | Pharmacist | 1600 E. Centretech Parkway, Aurora, CO 80011 | 2019-10-28 |
| 1003372137 | Nickes Medical Supply, LLC | Durable Medical Equipment & Medical Supplies | 365 N. Telluride St., Buckley Afb, Aurora, CO 80011 | 2019-02-13 |
| 1093294795 | University Physicians Incorporated | Pediatrics | 13100 E Colfax Ave Fl 3, Aurora, CO 80011 | 2018-08-13 |
| 1841783230 | Gabrielle Carmely | Counselor | 16380 E 14th Place, Aurora, CO 80011 | 2018-06-11 |
| 1376049866 | Olusegun Joseph Ogundele | Counselor | 791 Chamber Zone 3rd Floor, Aurora, CO 80011 | 2018-04-03 |
| 1750883567 | Mikiyas Fessha Tegen | Non-emergency Medical Transport (VAN) | 501 Evanston Court, Aurora, CO 80011 | 2018-03-07 |
| 1124528005 | Happy and Smile Home Care | Home Health | 14221 E 4th Ave Ste 221, Aurora, CO 80011 | 2018-02-16 |
| 1902313240 | Dp Assisting | Specialist/Technologist, Other | 1279 Salem St., Aurora, CO 80011 | 2018-01-09 |
| 1548788219 | Lisa Chan | Dietitian, Registered | 17890 E. Steamboat Ave, Building 35, Aurora, CO 80011 | 2017-09-01 |
| 1154851962 | Tania Chanae Anderson | Counselor | 14500 E 33rd Place, Aurora, CO 80011 | 2017-06-14 |
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| 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 |
|---|---|---|---|---|
| 1275188427 | Ryan Holliday | Psychologist | 1700 Wheeling St # G-3116m, Aurora, CO 80045-7211 | 2019-08-05 |
| 1902397896 | Brooke Marie Ruxton | Psychologist | 2385 Stoughton Cir, Aurora, IL 60502-6478 | 2018-05-25 |
| 1033664750 | Alice Kratz Fairey | Psychologist | 15799 E Monmouth Pl, Aurora, CO 80015-1724 | 2016-08-23 |
| 1013245455 | Scott Thomas Alvord | Psychologist | 23765 3rd St Ne, Aurora, OR 97002-9606 | 2009-11-23 |
| 1033368410 | Allison Gail Dempsey | Psychologist | 13001 E 17th Pl Fl Olace2, Aurora, CO 80045-2570 | 2008-09-10 |
| 1245494111 | Cristina Lawrence Cullens | Psychologist | 21983 E Heritage Pkwy, Aurora, CO 80016-7241 | 2008-07-10 |
| 1174748941 | Dorianna Suhasini Shrader | Psychologist | 12792 E Villanova Drive, Aurora, CO 80014 | 2007-04-16 |
| 1649323445 | Carol A Marfut | Psychologist | 14304 E Evans Ave, Aurora, CO 80014-1408 | 2007-01-18 |
| 1295811834 | Don Jerome Wolff | Psychologist | 7415 S Catawba Way, Aurora, CO 80016-5213 | 2006-10-27 |
| 1487738423 | Mara Jean Kailin | Psychologist | 1646 Elmira St, Aurora, CO 80010-2122 | 2006-10-25 |
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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.