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Deactivated NPI 1104243153 Deactivated / Inactive NPI Female Practitioner

Shamara Bargeron

Psychologist - School • Phoenix, AZ

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Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Shamara Bargeron has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date March 26, 2014
NPI Deactivation Date March 13, 2015
Total Practice Duration ~1 Years of Practice (2014 – 2015)

Professional Overview & Biography Verified Profile Summary

Shamara Bargeron was a registered Psychologist - School practicing in Phoenix, AZ. Throughout an active medical career spanning 1 years, Shamara Bargeron provided care at the practice location at 3618 N 38TH ST until profile deactivation on 2015-03-13.

Practice Location & Contact Primary Location

Practice Address

3618 N 38th St
11

Phoenix, AZ 850185860

Telephone 6232020935

Specialty Benchmarks & Practice Insights

Comparative analytics for Psychologist - School in Phoenix, AZ

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 7.0 Yrs
State Avg: 13.3 Yrs
Regional Practice Density
249 Specialists

Practicing in Phoenix, AZ (1023 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2022-03-22
Psychologist - School Primary Specialty

NUCC Taxonomy Code: 103TS0200X

State License AZ 4364182

A psychologist whose specialty is concerned with the science and practice of psychology with children, youth, families; learners of all ages; and the schooling process. The basic education and training of school psychologists prepares them to provide a range of psychological diagnosis, assessment, intervention, prevention, health promotion, and program development and evaluation services with a special focus on the developmental processes of children and youth within the context of schools, families and other systems. School psychologists are prepared to intervene at the individual and system level, and develop, implement, and evaluate preventive programs. In these efforts, they conduct ecologically valid assessments and intervene to promote positive learning environments within which children and youth from diverse backgrounds to ensure that all have equal access to effective educational and psychological services that promote healthy development

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events
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Updated Practice Location March 22, 2022

Registered at 3618 N 38TH ST, 11, PHOENIX, AZ 850185860 (Tel: 6232020935)

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Updated Business Mailing Address March 22, 2022

Registered at 3618 N 38TH ST, 11, PHOENIX, AZ 850185860 (Tel: 6232020935)

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Provider Name / Credentials Updated March 22, 2022

Recorded as SHAMARA BARGERON

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Medical Taxonomy / Specialty Registered (Primary Specialty) March 22, 2022

Psychologist (License #4364182 in AZ)

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NPI Profile Deactivated March 13, 2015

Record deactivated on March 13, 2015

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Initial NPI Registration & Enumeration March 26, 2014

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1104243153
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: March 26, 2014
Last Update: March 22, 2022
Deactivation Date: March 13, 2015
Sole Proprietor: No

Mailing Address

3618 N 38th St, 11

Phoenix, AZ 850185860

Phone: 6232020935

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.