JEREMY CADE SHIVER PSY.D.
NPI 1780059261
Psychologist - Clinical in College Park, GA

Q: What is Jeremy Shiver's NPI number?

The NPI number for Jeremy Shiver is 1780059261. It was assigned to this individual provider in the NPPES registry on December 9, 2015.

Q: What is Jeremy Shiver's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Jeremy Shiver was last updated on December 9, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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 December 09, 2015

1651 PHOENIX BLVD, SUITE 2, COLLEGE PARK, GA 30349(770) 997-1738(770) 991-1375 Get Directions Write a Review

NPPES record last updated: December 9, 2015. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Jeremy Cade Shiver Psy.d. NPPES

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

JEREMY CADE SHIVER PSY.D. (NPI 1780059261) is an individual clinical provider in College Park, Georgia, licensed in Georgia (PSY003936) and active in the NPI registry since December 2015.

NPPES Registry Identity

NPI1780059261

Entity TypeIndividualMale

Primary Taxonomy103TC0700X

Provider Legal NameJEREMY CADE SHIVERCredential: PSY.D.

Location Address1651 PHOENIX BLVD, SUITE 2College Park, GA 30349-5552

Mailing Address1651 Phoenix Blvd, Suite 2College Park, GA 30349-5552 · (770) 997-1738 · Fax (770) 991-1375

Phone(770) 997-1738

Fax(770) 991-1375

Sole ProprietorNo

Enumeration DateDecember 9, 2015

✔ NPI 1780059261 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychologist · ClinicalBehavioral Health & Social Service Providers

Taxonomy Code103TC0700X

License✔ Licensed in GA · PSY003936

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.

1651 PHOENIX BLVD, College Park, GA 30349

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Other Providers at the Same Location NPPES

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

LISA ANDREWS MA

Counselor (Professional)

1651 PHOENIX BLVD, SUITE 2
COLLEGE PARK, GA 30349

Fulton County (770) 997-1738

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 Jeremy Shiver's NPI number?

The NPI number for Jeremy Shiver is 1780059261. It was assigned to this individual provider in the NPPES registry on December 9, 2015.

Where is Jeremy Shiver located?

Jeremy Shiver practices at 1651 Phoenix Blvd Suite 2, College Park, GA 30349. The listed phone number is (770) 997-1738.

What is Jeremy Shiver's specialty?

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

When was this NPI record last updated?

The NPPES record for Jeremy Shiver was last updated on December 9, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.