KELSEY SHIVELY
NPI 1528542347
Psychologist in Westerville, OH
NPI Status: Active since September 18, 2018
Contact Information
187 W SCHROCK RD
WESTERVILLE, OH
ZIP 43081
Phone: (614) 355-7500
Fax: (614) 355-7533
- Individual
- Female
- Psychologist
- Accepts Insurance
- PECOS Enrolled
About KELSEY SHIVELY
This page provides the complete NPI Profile along with additional information for Kelsey Shively, a provider established in Westerville, Ohio with a medical specialization in Psychologist. The healthcare provider is registered in the NPI registry with number 1528542347 assigned on September 2018. The practitioner's primary taxonomy code is 103T00000X with license number P.08118 (OH). The provider is registered as an individual and her NPI record was last updated 3 years ago.
- NPI
- 1528542347
- Provider Name
- KELSEY SHIVELY
- Other Name
- KELSEY BUSH
- Other Name Type
- Former Name (1)
- Gender
- Female
- Entity Type
- Individual
- Location Address
- 187 W SCHROCK RD WESTERVILLE, OH 43081
- Location Phone
- (614) 355-7500
- Location Fax
- (614) 355-7533
- Mailing Address
- 187 W SCHROCK RD WESTERVILLE, OH 43081
- Mailing Phone
- (614) 355-7500
- Mailing Fax
- (614) 355-7533
- Is Sole Proprietor?
- No
- Enumeration Date
- 09-18-2018
- Last Update Date
- 04-08-2022
- Code Navigator
A psychologist like Kelsey Shively studies cognitive, emotional, social processes and behavior by observing, interpreting, and recording how people relate to one another and to their environments. Psychologists gather information and evaluate behavior through controlled laboratory experiments, psychoanalysis, psychotherapy or through personality, performance, aptitude, or intelligence tests, and use this information when testing theories in their research or when treating patients.
Location Map
Secondary Locations
- 700 Childrens Dr
Columbus, OH 43205
(614) 355-7500
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Psychologist
- Taxonomy Code
- 103T00000X
- Type
- Behavioral Health & Social Service Providers
- License No.
- P.08118
- License State
- OH
- Taxonomy Description
- 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.
Secondary Taxonomies
The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.
| No. | Taxonomy Code | Type | Classification / Specialization |
License No. (State) |
|---|---|---|---|---|
| 1 | 390200000X | Student, Health Care | Student in an Organized Health Care Education/Training Program | (OH) |
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
- Bronze 2 Advanced HSA: Aetna network + MinuteClinic + Virtual Primary Care - HMO
- Bronze 4 Advanced: $0 PCP + Aetna network + $0 MinuteClinic + $0 CVS Health Virtual Care 24/7 - HMO
- Bronze 4 Advanced: $0 PCP + Aetna network + $0 MinuteClinic + Adult Dental + Vision - HMO
- Bronze S: Aetna network + $0 MinuteClinic + $0 CVS Health Virtual Care 24/7 - HMO
- Gold 10 Advanced: $0 PCP + Aetna network + $0 MinuteClinic + $0 CVS Health Virtual Care 24/7 - HMO
- Gold 10 Advanced: $0 PCP + Aetna network + $0 MinuteClinic + Adult Dental + Vision - HMO
- Gold 3 Advanced: Aetna network + $0 MinuteClinic + $0 CVS Health Virtual Care 24/7 - HMO
- Gold 3 Advanced: Aetna network + $0 MinuteClinic + Adult Dental + Vision - HMO
- Gold S: Aetna network + $0 MinuteClinic + $0 CVS Health Virtual Care 24/7 - HMO
- Silver 10 Advanced: $0 PCP + Aetna network + $0 MinuteClinic + $0 CVS Health Virtual Care 24/7 - HMO
- Bronze Complete $0 Tier-1 PCP, $0 Antidote 24/7 Virtual PCP/Urg/Chronic Care, $0 Core Rx - HMO
- Bronze Complete+Dental $0 Tier-1 PCP, $0 Antidote 24/7 Virtual PCP/Urg/Chronic Care, $0 Core Rx - HMO
- Bronze Elite $0 Tier-1 PCP, $0 Antidote 24/7 Virtual PCP/Urg/Chronic Care/Referred Labs, $0 Advanced Rx - HMO
- Bronze Elite+Dental $0 Tier-1 PCP, $0 Antidote 24/7 Virtual PCP/Urg/Chronic Care/Referred Labs, $0 Advanced Rx - HMO
- Bronze Standard - HMO
- Catastrophic Standard - HMO
- Gold Complete $0 Tier-1 PCP, $0 Antidote 24/7 Virtual PCP/Urg/Chronic Care, $0 Core Rx - HMO
- Gold Complete+Dental $0 Tier-1 PCP, $0 Antidote 24/7 Virtual PCP/Urg/Chronic Care, $0 Core Rx - HMO
- Gold Elite $0 Tier-1 PCP, $0 Antidote 24/7 Virtual PCP/Urg/Chronic Care/Referred Labs, $0 Advanced Rx - HMO
- Gold Elite+Dental $0 Tier-1 PCP, $0 Antidote 24/7 Virtual PCP/Urg/Chronic Care/Referred Labs, $0 Advanced Rx - HMO
- Bronze First 7500 $25 Generic Drugs - HMO
- Bronze First 7500 $25 Generic Drugs Adult Vision & Fitness - HMO
- Core Gold 1500 $10 Generic Drugs - HMO
- Core Gold 1500 $10 Generic Drugs Adult Vision & Fitness - HMO
- Diabetes Gold 1100 $0 Select Drugs & Specialized Services - HMO
- Diabetes Gold 1100 $0 Select Drugs & Specialized Services Adult Vision & Fitness - HMO
- Diabetes Silver 4000 $0 Select Drugs & Specialized Services - HMO
- Diabetes Silver 4000 $0 Select Drugs & Specialized Services Adult Vision & Fitness - HMO
- Gold 1500 $15 Generic Drugs - HMO
- Gold 1500 $15 Generic Drugs Adult Vision & Fitness - HMO
- UHC Bronze Copay Focus $0 Indiv Med Ded ($0 Virtual Urgent Care, No Referrals) - HMO
- UHC Bronze Copay Focus+ $0 Indiv Med Ded ($0 Virtual Urgent Care, Dental + Vision, No Referrals) - HMO
- UHC Bronze Standard (No Referrals) - HMO
- UHC Bronze Standard+ (Dental + Vision, No Referrals) - HMO
- UHC Bronze Value ($5 Tier 2 Rx, No Referrals) - HMO
- UHC Bronze Value+ ($5 Tier 2 Rx, Dental + Vision, No Referrals) - HMO
- UHC Gold Advantage ($3 Tier 2 Rx, No Referrals) - HMO
- UHC Gold Advantage+ ($3 Tier 2 Rx, Dental + Vision, No Referrals) - HMO
- UHC Gold Copay Focus $0 Indiv Med Ded ($0 Virtual Urgent Care, $3 Tier 2 Rx, No Referrals) - HMO
- UHC Gold Copay Focus+ $0 Indiv Med Ded ($0 Virtual Urgent Care, $3 Tier 2 Rx, Dental + Vision, No Referrals) - HMO
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Additional Identifiers
The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.
| Identifier | Type / Code | Identifier State | Identifier Issuer |
|---|---|---|---|
| 1473276 | MEDICAID (05) | OH |
Medicare Participation & PECOS Enrollment Status
Kelsey Shively is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Durable Medical Equipment (DME).
What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.
Is the provider registered in PECOS? Yes
Eligible to Order or Refer Part B Clinical Laboratory and Imaging: No
Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes
Eligible to Order or Refer a Home Health Agency (HHA): No
Eligible to Order or Refer Power Mobility Devices: No
Reviews for KELSEY SHIVELY
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NPI Validation Check Digit Calculation
The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.
| Start with the original NPI number, the last digit is the check digit and is not used in the calculation. | |||||||||
| 1 | 5 | 2 | 8 | 5 | 4 | 2 | 3 | 4 | 7 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 5 | 4 | 8 | 10 | 4 | 4 | 3 | 8 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 5 + 4 + 8 + 1 + 0 + 4 + 4 + 3 + 8 + 24 = 63 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 70 - 63 = 7 | 7 | ||||||||
The NPI number 1528542347 is valid because the calculated check digit 7 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following 20 providers are registered at the same or nearby location.
| NPI | Name / Type | Taxonomy | Address |
|---|---|---|---|
| 1295759082 | JAMES ANTON MULICK PH.D. Individual | Psychologist (Intellectual and Developmental Disabilities) | 187 W SCHROCK RD WESTERVILLE, OH 43081 (614) 355-8315 |
| 1104840990 | DR. NATHAN HENNINGER PH.D., ABPP Individual | Psychologist (Intellectual and Developmental Disabilities) | 187 W SCHROCK RD WESTERVILLE, OH 43081 (614) 355-8315 |
| 1619190535 | ROBERT EDWARD ARENDT PH.D. Individual | Psychologist | 187 W SCHROCK RD WESTERVILLE, OH 43081 (614) 355-8315 |
| 1518169432 | LISA D HOLCOMB BA Individual | Student in an Organized Health Care Education/Training Program | 187 W SCHROCK RD CHILDREN'S HOSPITAL GUIDANCE CENTER WESTERVILLE, OH 43081 (614) 355-8315 |
| 1598955130 | AMELIA CRACE BA Individual | Student in an Organized Health Care Education/Training Program | 187 W SCHROCK RD CHILDREN'S HOSPITAL GUIDANCE CENTER WESTERVILLE, OH 43081 (614) 355-8000 |
| 1174713721 | MEGHAN ZEUNE Individual | Student in an Organized Health Care Education/Training Program | 187 W SCHROCK RD CHILDREN'S HOSPITAL GUIDANCE CENTER WESTERVILLE, OH 43081 (614) 355-8000 |
| 1457541088 | ANDREA HAYES BA Individual | Student in an Organized Health Care Education/Training Program | 187 W SCHROCK RD CHILDREN'S HOSPITAL GUIDANCE CENTER WESTERVILLE, OH 43081 (614) 355-8000 |
| 1932389418 | JULIE CHURCH STUDENT Individual | Student in an Organized Health Care Education/Training Program | 187 W SCHROCK RD WESTERVILLE, OH 43081 (614) 355-8315 |
| 1922288406 | CHRISTINE DUNLAY STUDENT Individual | Student in an Organized Health Care Education/Training Program | 187 W SCHROCK RD WESTERVILLE, OH 43081 (614) 355-8315 |
| 1215117791 | SARAH POTTER STUDENT Individual | Student in an Organized Health Care Education/Training Program | 187 W SCHROCK RD WESTERVILLE, OH 43081 (614) 355-8315 |
| 1780864264 | COURTNEY SNYDER STUDENT Individual | Student in an Organized Health Care Education/Training Program | 187 W SCHROCK RD WESTERVILLE, OH 43081 (614) 355-8315 |
| 1780865022 | EYDIE PLATT STUDENT Individual | Student in an Organized Health Care Education/Training Program | 187 W SCHROCK RD WESTERVILLE, OH 43081 (614) 355-8315 |
| 1093996514 | SHANNON BROOKE FINLAY Individual | Student in an Organized Health Care Education/Training Program | 187 W SCHROCK RD WESTERVILLE, OH 43081 (614) 355-8315 |
| 1932382611 | MICHELLE QUELETTE-LEBOLD Individual | Student in an Organized Health Care Education/Training Program | 187 W SCHROCK RD WESTERVILLE, OH 43081 (614) 355-8315 |
| 1720262561 | HILLARY JOHNSON Individual | Student in an Organized Health Care Education/Training Program | 187 W SCHROCK RD WESTERVILLE, OH 43081 (614) 355-8318 |
| 1912175837 | SAVANNAH R CAINES Individual | Student in an Organized Health Care Education/Training Program | 187 W SCHROCK RD WESTERVILLE, OH 43081 (614) 355-8315 |
| 1255504205 | SAMANTHA TAKACS Individual | Student in an Organized Health Care Education/Training Program | 187 W SCHROCK RD WESTERVILLE, OH 43081 (614) 355-8315 |
| 1063679801 | ERIN DECARLO BA Individual | Student in an Organized Health Care Education/Training Program | 187 W SCHROCK RD WESTERVILLE, OH 43081 (614) 355-8315 |
| 1205098951 | GINA MAURIZI Individual | Counselor (Mental Health) | 187 W SCHROCK RD WESTERVILLE, OH 43081 (614) 355-8315 |
| 1104081348 | MEGAN POPPAW BA Individual | Student in an Organized Health Care Education/Training Program | 187 W SCHROCK RD WESTERVILLE, OH 43081 (614) 355-8315 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1528542347, enumerated in the NPI registry as an "individual" on September 18, 2018
The provider is located at 187 W Schrock Rd Westerville, Oh 43081 and the phone number is (614) 355-7500
The provider's speciality is Psychologist with taxonomy code 103T00000X
The provider might be accepting Accepts: Aetna CVS Health, Antidote Health Plan of Ohio,. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.
Yes, as of June 20, 2025 the provider is registered in PECOS and is eligible to order health care services or supplies for Medicare patients. If you are a beneficiary the provider is eligible to order or refer: Durable Medical Equipment (DME).
This NPI record was last updated on September 18, 2018. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
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