MR. WILLIAM HENRY SHUNKAMOLAH PHD
NPI 1578862504
Psychologist - Clinical in Gallup, NM
About Mr. William Henry Shunkamolah Phd NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MR. WILLIAM HENRY SHUNKAMOLAH PHD (NPI 1578862504) is an individual clinical provider in Gallup, New Mexico, licensed in Arizona (4506) and active in the NPI registry since March 2011. He is enrolled in Medicare PECOS and is a graduate of Other (2012).
NPPES Registry Identity
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Mr. William Henry Shunkamolah Phd is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.
Medicare Billing Reassignments
2Medicare enrollment records show William Shunkamolah reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Gallup, NM 87301
- Reassigned Medicare billing, Texas enrollment
- 618 clinicians in this Medicare group
Albuquerque, NM 87106
- Reassigned Medicare billing, Texas enrollment
- 133 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 87301 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Other Providers at the Same Location NPPES 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
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 William Shunkamolah's NPI number?
The NPI number for William Shunkamolah is 1578862504. It was assigned to this individual provider in the NPPES registry on March 16, 2011.
Where is William Shunkamolah located?
William Shunkamolah practices at 516 E Nizhoni Blvd, Gallup, NM 87301. The listed phone number is (505) 722-1000.
What is William Shunkamolah's specialty?
The primary specialty registered for this NPI is Psychologist, specializing in Clinical, with taxonomy code 103TC0700X.
Is William Shunkamolah enrolled in Medicare?
Yes. William Shunkamolah is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.
Which organizations bill Medicare for William Shunkamolah's services?
According to the CMS Revalidation Reassignment List (October 2026 release), William Shunkamolah reassigns Medicare benefits to 2 organizations: Dhhs,phs,naihs, Gallup Indian Medical Center (Gallup, NM) and Albuquerque Indian Health Center (Albuquerque, NM). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for William Shunkamolah's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
When was this NPI record last updated?
The NPPES record for William Shunkamolah was last updated on July 21, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.
# Mr. William Henry Shunkamolah, PHD · NPI 1578862504
Clinical provider in Gallup, New Mexico. Individual provider, active in the CMS NPPES registry since March 16, 2011.
## Identity
- **NPI:** 1578862504 (Entity type: Individual)
- **Enumerated:** March 16, 2011
- **Primary specialty:** Psychologist - Clinical · taxonomy 103TC0700X
- **State license:** 4506 (Arizona)
- **Sole proprietor:** No
## Practice location
- **Address:** 516 E NIZHONI BLVD, Gallup, NM 87301-5748
- **Phone:** (505) 722-1000
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment
- **Bills Medicare through:** 2 organizations under Medicare reassignment (form CMS-855R): Dhhs,phs,naihs, Gallup Indian Medical Center (NPI 1225002322, Gallup, NM); Albuquerque Indian Health Center (NPI 1659458917, Albuquerque, NM) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2012
## Record status
- **NPPES last updated:** July 21, 2022
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Source: [NPI Profile](https://npiprofile.com/npi/1578862504) · Data from the CMS NPPES public registry.