SHANNON KERSEY, LPA
NPI 1164708228
Psychologist - Clinical Child & Adolescent in Charlotte, NC

NPI Status: Active since November 02, 2011

Contact Information

4425 RANDOLPH RD
SUITE 208
CHARLOTTE, NC
ZIP 28211
Phone: (704) 323-6586

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  • Organization
  • Psychologist
  • Clinical Child & Adolescent

About SHANNON KERSEY, LPA

This page provides the complete NPI Profile along with additional information for Shannon Kersey, Lpa, a provider established in Charlotte, North Carolina operating as a Psychologist, focusing in clinical child & adolescent . The healthcare provider is registered in the NPI registry with number 1164708228 assigned on November 2011. The practitioner's primary taxonomy code is 103TC2200X with license number 2531 (NC). The provider is registered as an organization and their NPI record was last updated 15 years ago. The organization operates as a Single Specialty Group with one or more individual practitioners, all of who practice with the same area of specialization. The authorized official of this NPI record is Ms. Shannon Kersey (Sole Proprietor)

NPI
1164708228
Provider Name
SHANNON KERSEY, LPA
Entity Type
Organization
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
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
11-02-2011
Last Update Date
11-02-2011
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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.

Group Taxonomy 193400000X SINGLE SPECIALTY GROUP

This provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

MS. SHANNON KERSEY

Authorized Official Title
SOLE PROPRIETOR
Authorized Official Phone
(704) 323-6586

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NPI NPI Number Validation

How NPI Validation Works

The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.

To verify the NPI 1164708228, we treat the final digit (8) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 52. The final step is to find the difference between that total and the next multiple of ten (60 - 52 = 8).

Digit-by-digit view

Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.

Pos 1
1
Doubled → 2
Pos 2
1
Unchanged
Pos 3
6
Doubled → 12 → 1 + 2
Pos 4
4
Unchanged
Pos 5
7
Doubled → 14 → 1 + 4
Pos 6
0
Unchanged
Pos 7
8
Doubled → 16 → 1 + 6
Pos 8
2
Unchanged
Pos 9
2
Doubled → 4
Check
8
Target digit
Regular digit Doubled digit Check digit

Step 1: Double every other digit from the right

Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.

1 → 2 6 → 12 → 3 7 → 14 → 5 8 → 16 → 7 2 → 4

Step 2: Add all digits plus the NPI constant

Add the transformed values, the unchanged digits, and the constant 24.

2 + 1 + 1 + 2 + 4 + 1 + 4 + 0 + 1 + 6 + 2 + 4 + 24 = 52

Step 3: Find the amount needed to reach the next multiple of 10

The next multiple of ten after 52 is 60. The difference is the calculated check digit.

60 - 52 = 8
This NPI is valid
The calculated check digit is 8, which matches the last digit of 1164708228.

Other Providers at the Same Location


The following 19 providers are registered at the same or a nearby location.

Psychologist (Clinical)
4425 RANDOLPH RD, SUITE 411
CHARLOTTE, NC 28211
Case Management
4425 RANDOLPH RD, SUITE 400
CHARLOTTE, NC 28211
Psychologist (Clinical)
4425 RANDOLPH RD, SUITE 411
CHARLOTTE, NC 28211
Psychologist
4425 RANDOLPH RD, SUITE 411
CHARLOTTE, NC 28211
Psychologist
4425 RANDOLPH RD, SUITE 208
CHARLOTTE, NC 28211
Psychologist (Clinical)
4425 RANDOLPH RD, SUITE 411
CHARLOTTE, NC 28211
Chiropractor
4425 RANDOLPH RD, SUITE 110
CHARLOTTE, NC 28211
Psychologist (Clinical)
4425 RANDOLPH RD, SUITE 411
CHARLOTTE, NC 28211
Psychologist (Clinical Child & Adolescent)
4425 RANDOLPH RD, SUITE 208
CHARLOTTE, NC 28211
Social Worker (Clinical)
4425 RANDOLPH RD, SUITE 305
CHARLOTTE, NC 28211
Psychologist (Clinical)
4425 RANDOLPH RD, SUITE 208
CHARLOTTE, NC 28211
Psychologist (School)
4425 RANDOLPH RD, SUITE 411
CHARLOTTE, NC 28211
Psychologist
4425 RANDOLPH RD, SUITE 411
CHARLOTTE, NC 28211
Pharmacist
4425 RANDOLPH RD
CHARLOTTE, NC 28211
Pharmacy (Community/Retail Pharmacy)
4425 RANDOLPH RD
CHARLOTTE, NC 28211
Nursing Care
4425 RANDOLPH RD, SUITE 205
CHARLOTTE, NC 28211
Case Management
4425 RANDOLPH RD, SUITE 400
CHARLOTTE, NC 28211
Psychologist (Group Psychotherapy)
4425 RANDOLPH RD, SUITE 411
CHARLOTTE, NC 28211
Psychologist
4425 RANDOLPH RD, SUITE 206
CHARLOTTE, NC 28211

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1164708228, enumerated as an "organization" on November 02, 2011.

The provider is located at 4425 RANDOLPH RD SUITE 208 CHARLOTTE, NC 28211 and the phone number is (704) 323-6586.

Psychologist with taxonomy code 103TC2200X and a focus in Clinical Child & Adolescent.