What is Justin Shedivy's NPI number?

Justin Shedivy's National Provider Identifier (NPI) is 1174807333, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.

What is Justin Shedivy's specialty?

Justin Shedivy is listed in the NPPES registry with a primary specialty of Counselor (Behavioral Health & Social Service Providers).

Where is Justin Shedivy located?

Justin Shedivy's practice location on file with NPPES is 1900 Silver Lake Rd Nw, New Brighton, MN 55112-1786.

What is Justin Shedivy's phone number?

The practice phone number listed in the NPPES registry for Justin Shedivy is (651) 628-9566.

Is Justin Shedivy's NPI active?

Yes — Justin Shedivy's NPI (1174807333) is active in the NPPES registry as of the last update on 2011-10-06.

IndividualActive

Justin Shedivy

NPI 1174807333 · Counselor · New Brighton, MN

Justin Shedivy is a Counselor provider in New Brighton, MN (NPI 1174807333).

Provider details

NPI number: 1174807333
Entity type: Individual
Primary specialty: CounselorBehavioral Health & Social Service Providers
Sex: Male
Sole proprietor: No

Specialties & taxonomies

CounselorPrimary101Y00000X
Behavioral Health & Social Service Providers

Profile Score

Established profile(74/100 index)

A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.

Registry tenure38% of score
14 yrs in NPPES registry
Profile completeness38% of score
83% of core fields populated
Practice footprint23% of score
1 documented practice location

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

1900 Silver Lake Rd Nw

Suite 110

New Brighton, MN 55112-1786

Phone: (651) 628-9566

Street-level locationGet directions

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Mailing address