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: July 19, 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
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

Other Identifiers 1

Medicaid200270630AIN

Other Providers at the Same Location NPPES 19

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

Social Worker (Clinical)
1930 W LINCOLN AVE, CORIE KULP COUNSELING PC
GOSHEN, IN 46526
Social Worker (Clinical)
1930 W LINCOLN AVE
GOSHEN, IN 46526
Psychiatry & Neurology (Child & Adolescent Psychiatry)
1930 W LINCOLN AVE
GOSHEN, IN 46526
Social Worker (Clinical)
1930 W LINCOLN AVE
GOSHEN, IN 46526
Psychologist (Clinical)
1930 W LINCOLN AVE
GOSHEN, IN 46526
Social Worker (Clinical)
1930 W LINCOLN AVE
GOSHEN, IN 46526
Social Worker (Clinical)
1930 W LINCOLN AVE
GOSHEN, IN 46526
Psychologist (Clinical)
1930 W LINCOLN AVE
GOSHEN, IN 46526

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1962429654, enumerated as an "individual" on July 17, 2006.

The provider is located at 1930 W LINCOLN AVE GOSHEN, IN 46526 and the phone number is (574) 534-2161.

Psychologist with taxonomy code 103TC0700X and a focus in Clinical.

The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.