DR. MARVIN SHELTON ED.S, ED.D, RSAP
NPI 1003364969
Clinic/Center in Hazelwood, MO

Q: What is Marvin Shelton's NPI number?

The NPI number for Marvin Shelton is 1003364969. It was assigned to this individual provider in the NPPES registry on September 20, 2016.

Q: What is Marvin Shelton's specialty?

The primary specialty registered for this NPI is Clinic/Center with taxonomy code 261Q00000X.

Q: When was this NPI record last updated?

The NPPES record for Marvin Shelton was last updated on September 19, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since September 20, 2016

6110 HOWDERSHELL RD, HAZELWOOD, MO 63042(314) 942-9499 Get Directions Write a Review

NPPES record last updated: September 19, 2019. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Sep 19, 2019, Aug 26, 2019, Sep 20, 2016 (3 updates tracked since 2016).

On this page

About Dr. Marvin Shelton Ed.s, Ed.d, Rsap NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. MARVIN SHELTON ED.S, ED.D, RSAP (NPI 1003364969) is an individual clinic/center provider in Hazelwood, Missouri and active in the NPI registry since September 2016. He maintains a secondary practice location in Saint Louis.

NPPES Registry Identity

NPI1003364969

Entity TypeIndividualMale

Primary Taxonomy261Q00000X

Provider Legal NameDR. MARVIN SHELTONCredential: ED.S, ED.D, RSAP

Location Address6110 HOWDERSHELL RDHazelwood, MO 63042-1170

Mailing Address4166 Lindell Blvd Apt 1bSaint Louis, MO 63108-2923 · (314) 580-3029

Phone(314) 942-9499

Sole ProprietorYes

Enumeration DateSeptember 20, 2016

Last NPPES UpdateSeptember 19, 20193 updates tracked since enumeration

✔ NPI 1003364969 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 5

★ Primary SpecialtyClinic/CenterAmbulatory Health Care Facilities

Taxonomy Code261Q00000X

Definition

A facility or distinct part of one used for the diagnosis and treatment of outpatients. Clinic/Center is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).

Also ListedCounselor · Addiction (Substance Use Disorder)Taxonomy 101YA0400X · License 9374 (MO)

Also ListedCounselor · ProfessionalTaxonomy 101YP2500X · License 9374 (MO)

Also ListedCase Manager/Care CoordinatorTaxonomy 171M00000X

Also ListedClinic/Center · Mental Health (Including Community Mental Health Center)Taxonomy 261QM0801X

6110 HOWDERSHELL RD, Hazelwood, MO 63042

Open in Google Maps ↗

Secondary Practice Location 1

Location 14166 Lindell Blvd, SUITE 1BSaint Louis, MO 63108-2945 · Phone (314) 580-3029

Other Providers at the Same Location NPPES 5

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

CELEBRATIONPOINTE

Clinic/Center (Community Health)