DR. RICHARD E SHOOK (PH.D.) – Clinical Psychologist, NPI 1831252220
Clinical Psychologist
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
483 CLINICAL PSYCHOLOGIST in GA
Provider Addresses for DR. RICHARD E SHOOK (PH.D.)
2001 DUNCAN DR NW UNIT 2714
KENNESAW, GA 301560465
Phone: (770) 514-0111
Fax: (404) 592-4648
Type: Mailing
800 KENNESAW AVE NW STE 320
MARIETTA, GA 300607945
Phone: (770) 514-0111
Fax: (404) 592-4648
Type: Location
127, Cherry Street Northeast, Elizabeth, Marietta, Cobb County, Georgia, 30060, United States
MARIETTA, GA 300607205
Phone: (770) 514-0111
Fax: (770) 428-9212
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
No Open Payments data available for this provider.
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Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2016-01-12
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.
Enrollment records
1
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20160112001851 | I | Clinical Psychologist | GA | TBD |
What to do next
- No action required while the due date shows TBD.
- Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
- Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.
Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS
Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 30156)
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