DR. SHELLY DENISE MINOR PH.D
NPI 1891977435
Psychologist in Bethel Island, CA

Active since December 05, 2007PECOS Enrolled
6327 BETHEL ISLAND ROAD, SUITE A, BETHEL ISLAND, CA 94511(925) 550-0540(925) 684-0348 Get Directions Write a Review

NPPES record last updated: February 17, 2011. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Dr. Shelly Denise Minor Ph.d NPPES

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

DR. SHELLY DENISE MINOR PH.D (NPI 1891977435) is an individual psychologist in Bethel Island, California, licensed in California (21477) and active in the NPI registry since December 2007. She is enrolled in Medicare PECOS and is a graduate of Other (2004).

NPPES Registry Identity

NPI1891977435
Entity TypeIndividualFemale
Primary Taxonomy103T00000X
Provider Legal NameDR. SHELLY DENISE MINORCredential: PH.D
Location Address6327 BETHEL ISLAND ROAD, SUITE ABethel Island, CA 94511-1011
Mailing Address6327 Bethel Island Road Suite ABethel Island, CA 94511 · (925) 550-0540 · Fax (925) 684-0348
Fax(925) 684-0348
Sole ProprietorYes
Medical School CMSOtherGraduated 2004
Enumeration DateDecember 5, 2007
Last NPPES UpdateFebruary 17, 2011
NPI 1891977435 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPsychologistBehavioral Health & Social Service Providers
Taxonomy Code103T00000X
License Licensed in CA · 21477
Definition
A psychologist is an individual who is licensed to practice psychology which is defined as the observation, description, evaluation, interpretation, and modification of human behavior by the application of psychological principles, methods, and procedures, for the purpose of preventing or eliminating symptomatic, maladaptive, or undesired behavior and of enhancing interpersonal relationships, work and life adjustment, personal effectiveness, behavioral health, and mental health. The practice of psychology includes, but is not limited to, psychological testing and the evaluation or assessment of personal characteristics, such as intelligence, personality, abilities, interests, aptitudes, and neuropsychological functioning; counseling, psychoanalysis, psychotherapy, hypnosis, biofeedback, and behavior analysis and therapy; diagnosis and treatment of mental and emotional disorder or disability, alcoholism and substance abuse, disorders of habit or conduct, as well as of the psychological aspects of physical illness, accident, injury, or disability; and psycheducational evaluation, therapy, remediation, and consultation. Psychological services may be rendered to individuals, families, groups and the public.
6327 BETHEL ISLAND ROAD, Bethel Island, CA 94511

Other Names 1

Former Name (1)Ms. Shelly Denise Carpenter Ph.d

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Dr. Shelly Denise Minor Ph.d is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID8729264882
PECOS Enrollment IDI20110525000662
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Areas of Expertise CMS Part B claims

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Psychotherapy, 1 hour 90837
Psychotherapy is a therapeutic interaction or treatment between a trained professional and a patient. In a 1-hour session, you'll talk about your feelings, thoughts, and behaviors to help identify and manage mental health issues. This process aids in personal growth, healing, and improved well-being.
281 services13 patients

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 Minor's NPI number?

The NPI number for Shelly Minor is 1891977435. It was assigned to this individual provider in the NPPES registry on December 5, 2007. The provider is also known as Ms. Shelly Denise Carpenter Ph.D.

Where is Shelly Minor located?

Shelly Minor practices at 6327 Bethel Island Road Suite A, Bethel Island, CA 94511. The listed phone number is (925) 550-0540.

What is Shelly Minor's specialty?

The primary specialty registered for this NPI is Psychologist with taxonomy code 103T00000X.

Is Shelly Minor enrolled in Medicare?

Yes. Shelly Minor is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Shelly Minor was last updated on February 17, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.