Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1053729285 Individual Practitioner Male Practitioner

Dr. Michael Garret Shumaker , PsyD

Psychologist • Jackson, MS

Professional Overview & Biography Verified Profile Summary

Dr. Michael Shumaker, PsyD is a registered healthcare professional specializing in Psychologist in Jackson, MS. Practice services are available at 1151 N STATE ST under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

1151 N State St

Jackson, MS 392022407

Telephone 6013527398
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Psychologist in Jackson, MS

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 33.5 Yrs
State Avg: 31.1 Yrs
Regional Practice Density
30 Specialists

Practicing in Jackson, MS (133 Statewide)

Telehealth Adoption Rate
6.7% 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: 2021-11-11
Psychologist Primary Specialty

NUCC Taxonomy Code: 103T00000X

State License MS 61-1099

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.

Counselor - Mental Health

NUCC Taxonomy Code: 101YM0800X

State License MS 1767

Definition to come...

Secondary Practice Locations

408 Fontaine Pl Ste 101

Ridgeland, MS 391575145

Phone: 6019420596

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

7 Associated Practitioners
Naomi Muffuletto

Marriage & Family Therapist

NPI 1043734080
Susan Herring , LPC

Counselor - Professional

NPI 1245873595

Licensed Professional Counselor

Abigail Miller , LPC

Counselor - Mental Health

NPI 1285344812

Licensed Professional Counselor

Dr. James Brown , PsyD

Psychologist - Clinical

NPI 1346374410

Doctor of Psychology (Psy.D.)

Dr. Cooper Moore , PsyD

Psychologist - Clinical

NPI 1710011150

Doctor of Psychology (Psy.D.)

John Cox , PSYC

Psychologist - Clinical

NPI 1871627968

Career & Practice History Timeline

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

10 Historical Events
📍
Updated Business Mailing Address November 11, 2021

Registered at 1151 N STATE ST STE 212, JACKSON, MS 392022467 (Tel: 6013527398)

👤
Provider Name / Credentials Updated November 11, 2021

Recorded as MICHAEL SHUMAKER, PSY.D.

📍
Updated Practice Location July 30, 2020

Registered at 1151 N STATE ST, JACKSON, MS 392022407 (Tel: 6013527398)

📍
Updated Business Mailing Address July 30, 2020

Registered at 209 TIMBERLAND TER, MADISON, MS 391107099 (Tel: 6019420596)

NPI Profile Active July 31, 2014

NPI status registered as active in NPPES database

📍
Updated Practice Location July 31, 2014

Registered at 408 FONTAINE PL STE 101, RIDGELAND, MS 391575145 (Tel: 6019420596)

📍
Updated Business Mailing Address July 31, 2014

Registered at 631 TUCKER XING, BRANDON, MS 390425033 (Tel: 6019420596)

👤
Provider Name / Credentials Updated July 31, 2014

Recorded as MICHAEL SHUMAKER, MAMFT, LPC

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) July 31, 2014

Counselor (License #1767 in MS)

🟢
Initial NPI Registration & Enumeration July 31, 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: 1053729285
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: July 31, 2014
Last Update: November 11, 2021
Sole Proprietor: Yes

Mailing Address

1151 N State St Ste 212

Jackson, MS 392022467

Phone: 6013527398

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.