DR. SHELLY EYRE GRAHAM PHD
NPI 1720853963
Psychologist - Clinical in Powell, WY

Q: What is Shelly Graham's NPI number?

The NPI number for Shelly Graham is 1720853963. It was assigned to this individual provider in the NPPES registry on November 17, 2023.

Q: What is Shelly Graham's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Clinical, with taxonomy code 103TC0700X.

Q: Is Shelly Graham enrolled in Medicare?

No. Shelly Graham has opted out of Medicare through March 28, 2027. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out.

Q: When was this NPI record last updated?

The NPPES record for Shelly Graham was last updated on November 17, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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 November 17, 2023Opted out of Medicare · through Mar 28, 2027

223 E 5TH ST, POWELL, WY 82435(831) 334-3370 Get Directions Write a Review

NPPES record last updated: November 17, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Dr. Shelly Eyre Graham Phd NPPES

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

DR. SHELLY EYRE GRAHAM PHD (NPI 1720853963) is an individual clinical provider in Powell, Wyoming, licensed in Wyoming (771) and active in the NPI registry since November 2023. She has opted out of Medicare through March 28, 2027.

NPPES Registry Identity

NPI1720853963

Entity TypeIndividualFemale

Primary Taxonomy103TC0700X

Provider Legal NameDR. SHELLY EYRE GRAHAMCredential: PHD

Location Address223 E 5TH STPowell, WY 82435-1906

Mailing Address223 E 5th StPowell, WY 82435-1906 · (831) 334-3370

Phone(831) 334-3370

Sole ProprietorYes

Enumeration DateNovember 17, 2023

NPPES CertifiedNovember 17, 2023

✔ NPI 1720853963 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychologist · ClinicalBehavioral Health & Social Service Providers

Taxonomy Code103TC0700X

Licenses✔ Licensed in WY · 771✔ Licensed in CA · 22269

Definition

A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in breadth -- one that is broadly inclusive of severe psychopathology -- and marked by comprehensiveness and integration of knowledge and skill from a broad array of disciplines within and outside of psychology proper. The scope of clinical psychology encompasses all ages, multiple diversities and varied systems.

223 E 5TH ST, Powell, WY 82435

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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

ⓘ

Opted out of Medicare

Dr. Shelly Eyre Graham Phd has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from March 28, 2025 through March 28, 2027.

Opt-Out Effective DateMarch 28, 2025

Opt-Out In Effect ThroughMarch 28, 2027Opt-out affidavits renew automatically every two years unless cancelled

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 Shelly Graham's NPI number?

The NPI number for Shelly Graham is 1720853963. It was assigned to this individual provider in the NPPES registry on November 17, 2023.

Where is Shelly Graham located?

Shelly Graham practices at 223 E 5th St, Powell, WY 82435. The listed phone number is (831) 334-3370.

What is Shelly Graham's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Clinical, with taxonomy code 103TC0700X.

Is Shelly Graham enrolled in Medicare?

No. Shelly Graham has opted out of Medicare through March 28, 2027. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out.

When was this NPI record last updated?

The NPPES record for Shelly Graham was last updated on November 17, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.