SHANNON ELIZABETH KERSEY LPA
NPI 1720190234
Psychologist - Clinical Child & Adolescent in Charlotte, NC
NPI Status: Active since August 31, 2006
Contact Information
4425 RANDOLPH RD
SUITE 208
CHARLOTTE, NC
ZIP 28211
Phone: (704) 323-6586
- Individual
- Female
- Psychologist
- Clinical Child & Adolescent
About SHANNON KERSEY
This page provides the complete NPI Profile along with additional information for Shannon Kersey, a provider established in Charlotte, North Carolina with a medical specialization in Psychologist, focusing in clinical child & adolescent . The healthcare provider is registered in the NPI registry with number 1720190234 assigned on August 2006. The practitioner's primary taxonomy code is 103TC2200X with license number 2531 (NC). The provider is registered as an individual and her NPI record was last updated 13 years ago.
- NPI
- 1720190234
- Provider Name
- SHANNON ELIZABETH KERSEY LPA
- Gender
- Female
- Entity Type
- Individual
- Location Address
- 4425 RANDOLPH RD SUITE 208 CHARLOTTE, NC 28211
- Location Phone
- (704) 323-6586
- Mailing Address
- 4425 RANDOLPH RD SUITE 208 CHARLOTTE, NC 28211
- Mailing Phone
- (704) 323-6586
- Is Sole Proprietor?
- No
- Enumeration Date
- 08-31-2006
- Last Update Date
- 09-25-2012
- Code Navigator
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Psychologist Clinical Child & Adolescent
- Taxonomy Code
- 103TC2200X
- Type
- Behavioral Health & Social Service Providers
- License No.
- 2531
- License State
- NC
- Taxonomy Description
- A psychologist who develops and applies scientific knowledge to the delivery of psychological services to infants, toddlers, children and adolescents within their social context. Of particular importance to the specialty of clinical child psychology is an understanding of the basic psychological needs of children and adolescents, and how the family and other social contexts influence the socio-emotional adjustment, cognitive development, behavioral adaptation and health status of children and adolescents.
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Additional Identifiers
The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.
| Identifier | Type / Code | Identifier State | Identifier Issuer |
|---|---|---|---|
| 6107171 | MEDICAID (05) | NC |
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NPI Validation Check Digit Calculation
The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.
| Start with the original NPI number, the last digit is the check digit and is not used in the calculation. | |||||||||
| 1 | 7 | 2 | 0 | 1 | 9 | 0 | 2 | 3 | 4 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 7 | 4 | 0 | 2 | 9 | 0 | 2 | 6 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 7 + 4 + 0 + 2 + 9 + 0 + 2 + 6 + 24 = 56 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 60 - 56 = 4 | 4 | ||||||||
The NPI number 1720190234 is valid because the calculated check digit 4 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following 18 providers are registered at the same or nearby location.
| NPI | Name / Type | Taxonomy | Address |
|---|---|---|---|
| 1629020003 | DEBORAH HALL PROFFITT M.A. Individual | Psychologist (Clinical) | 4425 RANDOLPH RD SUITE 206 CHARLOTTE, NC 28211 (704) 609-4006 |
| 1972527117 | DR. NONA LOUISE PATTERSON PH.D. Individual | Psychologist (Clinical) | 4425 RANDOLPH RD SUITE 411 CHARLOTTE, NC 28211 (704) 366-3400 |
| 1730281304 | DR. ROBERT H ABRAMOWITZ PH.D. Individual | Psychologist (Family) | 4425 RANDOLPH RD SUITE 411 CHARLOTTE, NC 28211 (704) 362-1147 |
| 1093894271 | DR. HOLLY BIELSTEIN SAVOY PH.D. Individual | Psychologist | 4425 RANDOLPH RD SUITE 411 CHARLOTTE, NC 28211 (704) 362-4041 |
| 1417163643 | RESIDENTIAL & SUPPORT SERVICES, INC. Organization | Case Management | 4425 RANDOLPH RD SUITE 400 CHARLOTTE, NC 28211 (704) 536-6661 |
| 1760686380 | DR. MELISSA ELIZABETH MILLER PSY.D. Individual | Psychologist (Clinical) | 4425 RANDOLPH RD SUITE 411 CHARLOTTE, NC 28211 (704) 222-7398 |
| 1225215544 | DR. SARA O. ELLETT PH. D. Individual | Psychologist | 4425 RANDOLPH RD SUITE 411 CHARLOTTE, NC 28211 (704) 366-3400 |
| 1225208788 | MR. JOHN WARNKEN PSYCHOLOGIST Individual | Psychologist | 4425 RANDOLPH RD SUITE 208 CHARLOTTE, NC 28211 (704) 364-6266 |
| 1154589695 | DR. CHASITY K ADAMS PSY.D. Individual | Psychologist (Clinical) | 4425 RANDOLPH RD SUITE 411 CHARLOTTE, NC 28211 (704) 430-8455 |
| 1720318975 | MATTHEW ALAN LUCAS D.C. Individual | Chiropractor | 4425 RANDOLPH RD SUITE 110 CHARLOTTE, NC 28211 (704) 362-3305 |
| 1164708228 | SHANNON KERSEY, LPA Organization | Psychologist (Clinical Child & Adolescent) | 4425 RANDOLPH RD SUITE 208 CHARLOTTE, NC 28211 (704) 323-6586 |
| 1508127127 | ANN SMOLIN, PH.D., PLLC Organization | Psychologist (Clinical) | 4425 RANDOLPH RD SUITE 411 CHARLOTTE, NC 28211 (704) 576-7210 |
| 1881995850 | MILLS COUNSELING, PLLC Organization | Social Worker (Clinical) | 4425 RANDOLPH RD SUITE 305 CHARLOTTE, NC 28211 (704) 964-8170 |
| 1679717607 | DR. ANGELA DAWN HOUSER-BETTI PSY.D. Individual | Psychologist (Clinical) | 4425 RANDOLPH RD SUITE 208 CHARLOTTE, NC 28211 (704) 789-3146 |
| 1851700868 | MICHELLE PFLEEGER BROWN MA/CAS Individual | Psychologist (School) | 4425 RANDOLPH RD SUITE 411 CHARLOTTE, NC 28211 (704) 362-5355 |
| 1629474226 | GRAHAM A. HUNTER, PHD Organization | Psychologist | 4425 RANDOLPH RD SUITE 411 CHARLOTTE, NC 28211 (704) 362-5355 |
| 1316425283 | KELSEY HORTON Individual | Pharmacist | 4425 RANDOLPH RD CHARLOTTE, NC 28211 (704) 367-5208 |
| 1972011468 | PUBLIX NORTH CAROLINA LP Organization | Pharmacy (Community/Retail Pharmacy) | 4425 RANDOLPH RD CHARLOTTE, NC 28211 (704) 972-2119 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1720190234, enumerated in the NPI registry as an "individual" on August 31, 2006
The provider is located at 4425 Randolph Rd Suite 208 Charlotte, Nc 28211 and the phone number is (704) 323-6586
The provider's speciality is Psychologist with taxonomy code 103TC2200X with a focus in Clinical Child & Adolescent
The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.
This NPI record was last updated on August 31, 2006. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
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