DR. BYRON MITCHELL SHOCK NPI 1356982466

Peer Specialist in Ontario, OR

Individual Male Peer Specialist

About BYRON SHOCK

Byron Shock is a provider established in Ontario, Oregon and his medical specialization is peer specialist. The NPI number of Byron Shock is 1356982466 and was assigned on October 2019. The practitioner's primary taxonomy code is 175T00000X. The provider is registered as an individual and his NPI record was last updated one year ago.

Byron Shock is a non-participating provider of Medicare. If you are a Medicare beneficiary this means the provider can charge up to 15% more than Medicare's approved amount for the cost of rendered services, in addition to your normal deductible and coinsurance costs. There are some states that restrict the limiting charge when you see non-participating provider. If you pay the full cost of your care up front, your non- participating provider should still submit a claim to Medicare. Afterward, you should receive reimbursement from Medicare for up 80% of the Medicare-approved amount for the services rendered.

NPI

1356982466

Provider NameDR. BYRON MITCHELL SHOCK
Provider Location Address702 SUNSET DR ONTARIO, OR 97914
Provider Mailing Address1059 SW 2ND AVE ONTARIO, OR 97914
GenderMale
NPI Entity TypeIndividual
Is Sole Proprietor?No
Is Organization Subpart?N/A
Enumeration Date10-01-2019
Last Update Date10-01-2019

Primary Taxonomy

Taxonomy Code175T00000X
ClassificationPeer Specialist
TypeOther Service Providers
Taxonomy DescriptionIndividuals certified to perform peer support services through a training process defined by a government agency, such as the Department of Veterans Affairs or a state mental health department/certification/licensing authority.

Business Address

DR. BYRON MITCHELL SHOCK
702 SUNSET DR
ONTARIO, OR
ZIP 97914
Phone: (541) 212-5245

Get Directions

Mailing Address

DR. BYRON MITCHELL SHOCK
1059 SW 2ND AVE
ONTARIO, OR
ZIP 97914
Phone: (541) 212-5245

Other Providers at the same location


The following 20 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1003905258 JULIE NOETHE
Individual
Counselor702 SUNSET DR
ONTARIO, OR 97914
(541) 823-9006
1033296595 ANDREA JEAN LOCKNER
Individual
Counselor (Addiction (Substance Use Disorder))702 SUNSET DR
ONTARIO, OR 97914
(541) 889-9167
1053400333 DOREEN OBERG M.ED
Individual
Counselor702 SUNSET DR
ONTARIO, OR 97914
(541) 889-9167
1063501385 BRITT HUMPHREY MS, LPC
Individual
Counselor702 SUNSET DR
ONTARIO, OR 97914
(541) 889-9167
1073644464 ROGELIO LARA ADES, CADCII
Individual
Counselor (Addiction (Substance Use Disorder))702 SUNSET DR
ONTARIO, OR 97914
(541) 889-9167
1073696654 RON MOORE CADC
Individual
Counselor (Addiction (Substance Use Disorder))702 SUNSET DR
ONTARIO, OR 97914
(541) 889-9167
1275541989 J. HARRISON WHITCOMB LCSW
Individual
Social Worker (Clinical)702 SUNSET DR
ONTARIO, OR 97914
(541) 889-9167
1306998620 SANDRA I SHELTON QMHP
Individual
Counselor (Mental Health)702 SUNSET DR
ONTARIO, OR 97914
(541) 889-9167
1437238136 MELISSA JACOBS CADC
Individual
Counselor (Addiction (Substance Use Disorder))702 SUNSET DR
ONTARIO, OR 97914
(541) 889-9167
1437298718 DENNIS D TOLMAN QMHP
Individual
Counselor (Addiction (Substance Use Disorder))702 SUNSET DR
ONTARIO, OR 97914
(541) 889-9167
1447339155 KEVIN T HILL CADC
Individual
Counselor (Addiction (Substance Use Disorder))702 SUNSET DR
ONTARIO, OR 97914
(541) 889-9167
1467583740 MICHAEL D SINGLETON
Individual
Counselor (Mental Health)702 SUNSET DR
ONTARIO, OR 97914
(541) 889-9767
1497886659 FRANK DUGGER MHA
Individual
Counselor702 SUNSET DR
ONTARIO, OR 97914
(541) 889-9167
1528157823 ALICE H MILLS BS
Individual
Counselor702 SUNSET DR
ONTARIO, OR 97914
(541) 889-9167
1548321474 VICKIE LYNN DARR RN
Individual
Registered Nurse (Psychiatric/Mental Health)702 SUNSET DR
ONTARIO, OR 97914
(541) 889-9167
1730210790 LAURIE J SMITH MHA
Individual
Counselor702 SUNSET DR
ONTARIO, OR 97914
(541) 889-9167
1760513048 RAYMOND MECKLING MILLAR MSW
Individual
Counselor (Mental Health)702 SUNSET DR
ONTARIO, OR 97914
(541) 889-9167
1821056391 JUDITH POIROT LCSW
Individual
Social Worker (Clinical)702 SUNSET DR
ONTARIO, OR 97914
(541) 889-9167
1881755718 SI ROBIN STEINBERG M.D.
Individual
Psychiatry & Neurology (Psychiatry)702 SUNSET DR
ONTARIO, OR 97914
(541) 889-9167
1962533026 MAUREEN IRELAND QMHA
Individual
Counselor (Addiction (Substance Use Disorder))702 SUNSET DR
ONTARIO, OR 97914
(541) 889-9167

NPI Footnotes

What is the National Provider Indentifier (NPI)?
The NPI is 10-position all-numeric identification number assigned by the NPPES to uniquely identify a health care provider.

Provider Location Address
The location address of the provider being identified. For providers with more than one physical location, this is the primary location. This address cannot include a Post Office box.

Provider Mailing Address
The mailing address of the provider being identified. This address may contain the same information as the provider location address.

Entity Type Code
The code describing the type of health care provider that is being assigned an NPI.
The entity type codes are:
1 = Person: individual human being who furnishes health care;
2 = Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)

What is a Subpart?
Subparts are the components and separate physical locations of organization health care providers. Subpart examples include:
Hospital components include outpatient departments, surgical centers, psychiatric units, and laboratories. These components are often separately licensed or certified by States and may exist at physical locations other than that of the hospital of which they are a component.

Provider Other Organization Name
The other organization name is the alternative last name by which the provider is or has been known (if an individual) or other name by which the organization provider is or has been known. The code identifying the type of other name. The provider other organization name codes are:
1 = former name;
2 = professional name;
3 = doing business as (d/b/ a) name;
4 = former legal business name; :
5 = other.

Provider Enumeration Date
The date the provider was assigned a unique identifier (assigned an NPI).

Last Update Date
The date that a NPI record was last updated or changed.

Primary Taxonomy Code
The primary taxonomy code defines the provider type, classification, and specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Authorized Official Name
The name of the person authorized to submit the NPI application or to officially change data for a health care provider.