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Type 1 · Individual ✓ Active NPI ✓ Valid NPI checksum Sole proprietor

Randall Kenneth Shively, PH.D, LICDC

Intellectual & Developmental Disabilities Psychologist in Columbus, OH · enumerated 2018 · practices at Alvis Inc.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1235608084

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Registry record

Entity type Individual (Type 1)
Name Randall Kenneth Shively
Credential PH.D, LICDC
Sex Male
Practice address Columbus, OH, 43215
Fax (614) 252-5326
Enumeration date Nov 21, 2018
Last updated in NPPES Apr 25, 2023

Street address withheld: NPPES sole-proprietor addresses can be home addresses. See our data policy.

Taxonomy & licenses

101YA0400X Addiction (Substance Use Disorder) Counselor Behavioral Health & Social Service Providers · License 975850 (OH) Secondary
103TM1800X Intellectual & Developmental Disabilities Psychologist Behavioral Health & Social Service Providers · License 4374 (OH) Primary
PHD · Doctor of Philosophy: A doctoral degree; in healthcare often held by clinical psychologists and researchers. About the PHD credential

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

What is the NPI number for Randall Shively?
The National Provider Identifier (NPI) for Randall Shively is 1235608084, a Type 1 (individual) record in the CMS NPPES registry.
Where does Randall Shively practice?
The practice location on file with NPPES is in Columbus, OH. Providers can have multiple locations; NPPES lists the primary practice address.

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2023-04-25.