DR. SHALENE MICHELE KIRKLEY (NPI# 1811228752) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1811228752 |
| Entity Type | Individual |
| Full Name | DR. SHALENE MICHELE KIRKLEY |
| Credential | PHD |
| Practice Address |
810 N 6th Ave Phoenix AZ 85003-1318 |
| Mailing Address |
Po Box 94401 Phoenix AZ 85070-4401 |
| Practice Telephone | 6022847741 |
| Practice Fax Number | 4802199685 |
| Mailing Telephone | 6022847741 |
| Mailing Fax Number | 4802199685 |
| Enumeration Date | 2010-01-15 |
| Last Update Date | 2010-09-02 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 103T00000X | Psychologist | 4075 | AZ | Behavioral Health & Social Service Providers |
| N | 103TA0400X |
Psychologist Specialization: Addiction (Substance Use Disorder) |
4075 | AZ | Behavioral Health & Social Service Providers |
| N | 103TA0700X |
Psychologist Specialization: Adult Development & Aging |
4075 | AZ | Behavioral Health & Social Service Providers |
| N | 103TC0700X |
Psychologist Specialization: Clinical |
4075 | AZ | Behavioral Health & Social Service Providers |
| Y | 103TF0200X |
Psychologist Specialization: Forensic |
4075 | AZ | Behavioral Health & Social Service Providers |
| Street Address |
810 N 6TH AVE |
| City | PHOENIX |
| State | AZ |
| Zip Code | 85003-1318 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598767790 | Andrea Shunette Waddell-pratt | Psychologist | 810 N 6th Ave, Phoenix, AZ 85003-1318 | 2005-06-01 |
| 1013470251 | Kimberly Turille | Counselor | 810 N 6th Ave, Phoenix, AZ 85003-1318 | 2019-04-12 |
| 1669930855 | Andrew Maurer | Marriage & Family Therapist | 810 N 6th Ave, Phoenix, AZ 85003-1318 | 2019-03-06 |
| 1407361090 | Shadi May Boudreau | Counselor | 810 N 6th Ave, Phoenix, AZ 85003-1318 | 2017-12-05 |
| 1942714613 | The Phoenix Counseling Collective | Counselor | 810 N 6th Ave, Phoenix, AZ 85003-1318 | 2017-11-16 |
| 1407398100 | Gina Michelle Lang | Psychologist | 810 N 6th Ave, Phoenix, AZ 85003-1318 | 2016-11-11 |
| 1194102582 | Spane Counseling | Counselor | 810 N 6th Ave, Phoenix, AZ 85003-1318 | 2015-05-05 |
| 1558796482 | Life Choices Professional Group, LLC | Community/Behavioral Health | 810 N 6th Ave, Phoenix, AZ 85003-1318 | 2013-09-11 |
| 1083853147 | Wooten & Associates, Plc | Psychologist | 810 N 6th Ave, Phoenix, AZ 85003-1318 | 2009-02-13 |
| 1629277124 | Andrea Waddell-pratt, Phd, PC | Community/Behavioral Health | 810 N 6th Ave, Phoenix, AZ 85003-1318 | 2007-07-13 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518504406 | Jennifer A Day | Counselor | 125 South Avenue, Phoenix, AZ 85003 | 2019-12-10 |
| 1588148993 | Jillian Ralston | Optometrist | 112 W Mcdowell Road, Phoenix, AZ 85003 | 2018-09-20 |
| 1699254839 | Corner Pharmacy Incorporated | Pharmacy | 112 N 5th Ave Ste 101, Phoenix, AZ 85003 | 2018-08-08 |
| 1003279043 | Kimberly Brown | Technician, Other | 609 N 2nd Aveunue, 200, Phoenix, AZ 85003 | 2016-03-29 |
| 1548678626 | Douglas Barshter | Technician, Other | 602 N 2nd Avenue, Phoenix, AZ 85003 | 2014-08-01 |
| 1346655099 | Benjamin Heller | Family Medicine | 515 W Buckeye Rd Ste 104, Phoenix, AZ 85003 | 2014-06-20 |
| 1225383201 | Charles S Bell | Counselor | 609 North 2nd Ave., Phoenix, AZ 85003 | 2012-07-17 |
| 1790004133 | Arizona Cvs Stores, L.L.C. | Durable Medical Equipment & Medical Supplies | 50 W. Jefferson St., Suite 140, Phoenix, AZ 85003 | 2010-05-25 |
| 1184806960 | Word Play, LLC | Home Health | 808 N 4th Ave Unit 12, Phoenix, AZ 85003 | 2007-12-03 |
| 1609067842 | Salim Shafi | Dentist | 125 W Mcdowell Road, Phoenix, AZ 85003 | 2007-08-05 |
| Find all providers in zip 85003 | ||||
| Taxonomy Code | 103TF0200X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Forensic |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205300365 | Eloisa Millan Rodriguez | Psychologist | 3929 W Irwin Ave, Phoenix, AZ 85041-6045 | 2019-01-11 |
| 1447480538 | John Philip Dibacco | Psychologist | 11811 N Tatum Blvd, P115, Phoenix, AZ 85028-1614 | 2009-07-23 |
| 1902065667 | Gary Alan Freitas | Psychologist | 3250 W Lower Buckeye Rd, Suite 2800, Phoenix, AZ 85009-6729 | 2008-06-06 |
| 1508025974 | Bruce Allen Kushner | Psychologist | 3250 W Lower Buckeye Rd, 2100, Phoenix, AZ 85009-6729 | 2008-06-02 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083170641 | Mylena Dashaun Smith | Psychologist | 2812 N. Norwalk St Bldg. 14, Ste 127 & 128, Mesa, AZ 85215 | 2019-02-19 |
| 1093914079 | John A Moran | Psychologist | 7500 E Mcdonald Dr # 400a, Scottsdale, AZ 85250-6052 | 2007-07-11 |
| 1952486961 | Forensic Counseling & Evaluations | Psychologist | 8350 E Raintree Dr, Suite 120, Scottsdale, AZ 85260-2695 | 2006-10-26 |
| 1902072937 | Joseph John Lang | Psychologist | 925 W Baseline Rd, Pmb 105-k5, Tempe, AZ 85283-1100 | 2008-04-30 |
| 1346444114 | Steven R. Gray | Psychologist | 1930 S Alma School Rd, Suite B120, Mesa, AZ 85210-3064 | 2007-06-13 |
| 1114141587 | Gary I Perrin | Psychologist | 5151 E Broadway Blvd, Suite 720, Tucson, AZ 85711-3705 | 2007-04-13 |
| 1235352352 | Ashley Bruce Hart II | Psychologist | 106 E 1st St, Suite D, Yuma, AZ 85364-1450 | 2007-04-10 |
| 1215051750 | Cheryl Lee Karp | Psychologist | 3060 N Swan Rd, Tucson, AZ 85712-1225 | 2007-03-19 |
| 1285719278 | David Weinstock | Psychologist | 8350 E Raintree Dr, Suite 120, Scottsdale, AZ 85260-2695 | 2006-10-26 |
Please comment or provide details below to improve the information on DR. SHALENE MICHELE KIRKLEY.
| 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.