Dr John Richard Shack, PHD - Psychologist in Douglas, MI

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Dr John Richard Shack, PHD is a Psychologist - Clinical based in Douglas, Michigan. Dr John Richard Shack is licensed to practice in Michigan (license number 6301011374) and his current practice location is 713 Wilderness Dr., Douglas, Michigan. He can be reached at his office (for appointments etc.) via phone at (269) 857-8644.

NPI number for Dr John Richard Shack is 1942478706 and his current mailing address is 713 Wilderness Drive, P. O. Box 140, Douglas, Michigan. He does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1942478706.

Contact Information

Dr John Richard Shack, PHD
713 Wilderness Dr.,
Douglas, MI 49406-0140
(269) 857-8644
(269) 857-8644

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Healthcare Provider's Profile

Full NameDr John Richard Shack
GenderMale
SpecialityPsychologist - Clinical
Location713 Wilderness Dr., Douglas, Michigan
Accepts Medicare AssignmentsDoes not participate in Medicare Program. He may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1942478706
  • Provider Enumeration Date: 02/14/2008
  • Last Update Date: 02/14/2008

Medical Identifiers

Medical identifiers for Dr John Richard Shack such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1942478706NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
103TC0700XPsychologist - Clinical 6301011374 (Michigan)Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dr John Richard Shack is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Dr John Richard Shack, PHD
713 Wilderness Drive, P. O. Box 140,
Douglas, MI 49406-0140

Ph: (269) 857-8644		Dr John Richard Shack, PHD
713 Wilderness Dr.,
Douglas, MI 49406-0140

Ph: (269) 857-8644

Reviews and Comments


Psychologist in Douglas, MI


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