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MICHELE DEE SHACKELFORD PH.D.
NPI 1194872168
Clinical Neuropsychologist in New York, NY

Active since January 04, 2007
1430 2ND AVE, SUITE 103, NEW YORK, NY 10021(212) 434-4594(212) 717-5691 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Michele Dee Shackelford Ph.d. NPPES

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

MICHELE DEE SHACKELFORD PH.D. (NPI 1194872168) is an individual clinical neuropsychologist in New York, New York, licensed in New York (005459) and active in the NPI registry since January 2007.

NPPES Registry Identity

NPI1194872168
Entity TypeIndividualFemale
Primary Taxonomy103G00000X
Provider Legal NameMICHELE DEE SHACKELFORDCredential: PH.D.
Location Address1430 2ND AVE, SUITE 103New York, NY 10021-3313
Mailing Address420 E 54th St, Apt. 33bNew York, NY 10022-5179 · (917) 322-0455
Phone(212) 434-4594
Fax(212) 717-5691
Sole ProprietorYes
Enumeration DateJanuary 4, 2007
Last NPPES UpdateJuly 8, 2007
✔ NPI 1194872168 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinical NeuropsychologistBehavioral Health & Social Service Providers
Taxonomy Code103G00000X
License✔ Licensed in NY · 005459
Definition
A clinical psychologist who applies principles of assessment and intervention based upon the scientific study of human behavior as it relates to normal and abnormal functioning of the central nervous system. The specialty is dedicated to enhancing the understanding of brain-behavior relationships and the application of such knowledge to human problems.
1430 2ND AVE, New York, NY 10021
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Other Providers at the Same Location NPPES 8

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

PEDIATRIC HEAD AND NECK ASSOCIATES, PC
Specialist
1430 2ND AVE, STE 110
NEW YORK, NY 10021
New York County (212) 979-4200
DR. LINDA WEINGARTEN SCHEFFLER PH.D.
Psychologist
1430 2ND AVE, STE 109
NEW YORK, NY 10021
New York County (212) 744-3321
DR. SANDRA ODALIA SAMANIEGO PH.D.
Psychologist
1430 2ND AVE, SUITE 103
NEW YORK, NY 10021
New York County (212) 434-3364
DR. LAURA ANNE LEWIS MANTELL M.D.
Anesthesiology
1430 2ND AVE, SUITE 102
NEW YORK, NY 10021
New York County (212) 734-2902
DR. AMANDA NELSON MANDEL PSY.D.
Psychologist
1430 2ND AVE, SUITE 103
NEW YORK, NY 10021
New York County (212) 434-6562
MELISSA SUSAN PASHCOW MD
Ophthalmology
1430 2ND AVE, SUITE 108
NEW YORK, NY 10021
New York County (212) 737-0220
ANAT ZELMANOVICH M.D.
Obstetrics & Gynecology
1430 2ND AVE, SUITE 101
NEW YORK, NY 10021
New York County (212) 452-1526
DR. MICHELLE LORRANINE KORNBLEUTH PH.D.
Psychologist (Clinical)
1430 2ND AVE, SUITE 103
NEW YORK, NY 10021
New York County (212) 434-2534

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Michele Shackelford's NPI number?

The NPI number for Michele Shackelford is 1194872168. It was assigned to this individual provider in the NPPES registry on January 4, 2007.

Where is Michele Shackelford located?

Michele Shackelford practices at 1430 2nd Ave Suite 103, New York, NY 10021. The listed phone number is (212) 434-4594.

What is Michele Shackelford's specialty?

The primary specialty registered for this NPI is Clinical Neuropsychologist with taxonomy code 103G00000X.

When was this NPI record last updated?

The NPPES record for Michele Shackelford was last updated on July 8, 2007. NPI Profile syncs with the weekly NPPES data releases published by CMS.