Marvin Shelton, ED.S, ED.D, RSAP
NPI 1003364969 · Clinic/Center · Hazelwood, MO
Provider details
- NPI number
- 1003364969
- Entity type
- Individual
- Primary specialty
- Clinic/CenterAmbulatory Health Care Facilities
- Credential
- ED.S, ED.D, RSAP
- Sex
- Male
- Sole proprietor
- Yes
- License
- 9374 (MO)
Specialties & taxonomies
Ambulatory Health Care Facilities
Behavioral Health & Social Service Providers
Behavioral Health & Social Service Providers
- Case Manager/Care Coordinator171M00000X
Other Service Providers
Ambulatory Health Care Facilities
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
9 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
2 documented practice locations
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Additional practice locations (1)
- 4166 Lindell BlvdSuite 1bSaint Louis, MO 63108-2945Phone: (314) 580-3029
Registry dates
- Enumerated
- 2016-09-20
- Last updated
- 2019-09-19
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.