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MR. JAY R SHETLER PSYD, HSPP
NPI 1962429654
Psychologist - Clinical in Goshen, IN

Active since July 17, 2006
1930 W LINCOLN AVE, GOSHEN, IN 46526(574) 534-2161(574) 534-3887 Get Directions Write a Review

NPPES record last updated: October 2, 2008. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Mr. Jay R Shetler Psyd, Hspp NPPES

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

MR. JAY R SHETLER PSYD, HSPP (NPI 1962429654) is an individual clinical provider in Goshen, Indiana, licensed in Indiana (20041401A) and active in the NPI registry since July 2006.

NPPES Registry Identity

NPI1962429654
Entity TypeIndividualMale
Primary Taxonomy103TC0700X
Provider Legal NameMR. JAY R SHETLERCredential: PSYD, HSPP
Location Address1930 W LINCOLN AVEGoshen, IN 46526-5907
Mailing Address1930 W Lincoln AveGoshen, IN 46526-5907 · (574) 534-2161 · Fax (574) 534-3887
Phone(574) 534-2161
Fax(574) 534-3887
Sole ProprietorNo
Enumeration DateJuly 17, 2006
Last NPPES UpdateOctober 2, 2008
✔ NPI 1962429654 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 IN · 20041401A
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.
1930 W LINCOLN AVE, Goshen, IN 46526
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Other Identifiers 1

Medicaid200270630AIN

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.

CHANGE ARCHITECTS LLP
Social Worker (Clinical)
1930 W LINCOLN AVE
GOSHEN, IN 46526
Elkhart County (574) 534-2161
MRS. CORIE LYNN KULP LCSW
Social Worker (Clinical)
1930 W LINCOLN AVE, CORIE KULP COUNSELING PC
GOSHEN, IN 46526
Elkhart County (574) 534-2161
LAUREN BOYLE COUNSELING LLC
Social Worker (Clinical)
1930 W LINCOLN AVE
GOSHEN, IN 46526
Elkhart County (574) 534-2161
WADE PSYCHOLOGICAL SERVICES INC.
Psychologist (Clinical)
1930 W LINCOLN AVE
GOSHEN, IN 46526
Elkhart County (574) 534-2161
SHIRLEY CLAASSEN DICK LLC
Social Worker (Clinical)
1930 W LINCOLN AVE
GOSHEN, IN 46526
Elkhart County (574) 534-2161
JENNIFER MILLER COUNSELING, PC
Social Worker (Clinical)
1930 W LINCOLN AVE
GOSHEN, IN 46526
Elkhart County (574) 534-2161
ERIKA LYNN FARRELL
Counselor (Mental Health)
1930 W LINCOLN AVE
GOSHEN, IN 46526
Elkhart County (574) 534-2161
CARRIE SOMMER COUNSELING LLC
Social Worker (Clinical)
1930 W LINCOLN AVE
GOSHEN, IN 46526
Elkhart County (574) 534-2161

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 Jay Shetler's NPI number?

The NPI number for Jay Shetler is 1962429654. It was assigned to this individual provider in the NPPES registry on July 17, 2006.

Where is Jay Shetler located?

Jay Shetler practices at 1930 W Lincoln Ave, Goshen, IN 46526. The listed phone number is (574) 534-2161.

What is Jay Shetler'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 Jay Shetler was last updated on October 2, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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.