DR. SHELLY LYNN KOMONDOROS PH.D. NPI 1073800777

NPI Details

DR. Shelly Lynn Komondoros, PH.D. is a clinical psychologist in Oshkosh, WI with 13 years of experience. The provider is 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. DR. Shelly Lynn Komondoros, PH.D. NPI is 1073800777. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

1855 S KOELLER ST
OSHKOSH, WI
ZIP 54902-214
Phone: (920) 223-7350

The NPI 1073800777 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment.

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

• Assessment of health behavior (HCPCS:96156)

The enumeration date for this NPI number is 7/1/2011 and was last updated on 11/15/2013.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available: