EDWIN R SHIRLEY (PHD) – Psychologist, NPI 1376563650

EDWIN R SHIRLEY (PHD) is a healthcare provider. based in Cleveland, Ohio. specializing in CLINICAL PSYCHOLOGIST. They hold the professional credentials PHD. They hold a License No. 5288 (OH). The NPI Number for EDWIN R SHIRLEY (PHD) is 1376563650

Main info

Male
31 Years Of Experience
Accepts Medicare Assignment
Name
EDWIN R SHIRLEY (PHD)
NPI
1376563650
Phone
(216) 844-2400
Address
10524 EUCLID AVE FL 12
Enumeration Date
20 July 2006
Last Update Date
6 January 2021

Doctor Profile

Medical School Name
OTHER
Secondary Phone
-
Graduation Year
1995 (31 years ago)
PAC ID
9931293602
Group Practice PAC ID
3072417534
Professional Enrollment ID
I20070926000237
Address ID
OH440302039CO158XXRDXX400
Telehealth
Yes

Contacts

Secure Messaging
edwinshirley@uhps.allscriptsdirect.net
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience62
Completeness85
Years active:19State licenses:1Other namesUpdated within 12 months

1,139 CLINICAL PSYCHOLOGIST in OH

Provider Addresses for EDWIN R SHIRLEY (PHD)

  • 10524 EUCLID AVE FL 12

    CLEVELAND, OH 441062205

    Phone: (216) 844-2400

    Fax: (216) 844-2877

    Type: Location

  • 24701, Euclid Avenue, Euclid, Cuyahoga County, Ohio, 44117, United States

    3RD FLOOR

    EUCLID, OH 441171714

    Phone:

    Type: Mailing

  • University Hospitals Cleveland Medical Center, 11100, Euclid Avenue, University Circle, Cleveland, Cuyahoga County, Ohio, 44106, United States

    CLEVELAND, OH 441061716

    Phone: (216) 844-2400

    Type: Location

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.

This can happen when there are no reportable CMS Open Payments records.

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: 2007-09-26

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

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20070926000237IClinical PsychologistOHTBD

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.

Verify on CMS Revalidation Lookup Tool

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.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
90834Psychotherapy, 45 minutes11120$0
90837Psychotherapy, 1 hour5016$0
90791Psychiatric diagnostic evaluation1313$0
View full utilization report →

Insurance plans in this area (ZIP 44106)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 3072417534View full group profile

Reviews

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Frequently asked questions

How is EDWIN R SHIRLEY (PHD) identified in CMS data?
CMS-hosted NPPES data lists EDWIN R SHIRLEY (PHD) with NPI 1376563650.
Can I rely on EDWIN R SHIRLEY (PHD) being an active provider?
As of the registry snapshot, EDWIN R SHIRLEY (PHD) is marked active.
What is EDWIN R SHIRLEY (PHD)'s specialty?
The listing groups EDWIN R SHIRLEY (PHD) with Psychologist. Clinical services aligned with this taxonomy classification.
Where should I expect EDWIN R SHIRLEY (PHD) on a map?
Expect Cleveland, Ohio as a primary anchor for EDWIN R SHIRLEY (PHD) unless the record lists multiple sites.
Is specialty guaranteed by NPI alone?
Taxonomy selections describe intent; scope of practice still follows state law.

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