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

Active since November 02, 2011
4425 RANDOLPH RD, SUITE 208, CHARLOTTE, NC 28211(704) 323-6586 Get Directions Write a Review

NPPES record last updated: November 2, 2011. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Shannon Kersey, Lpa NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SHANNON KERSEY, LPA (NPI 1164708228) is a healthcare organization registered as a clinical child & adolescent in Charlotte, North Carolina and active in the NPI registry since November 2011. The organization lists Shannon Kersey, Sole Proprietor, as its authorized official.

NPPES Registry Identity

NPI1164708228
Entity TypeOrganization
Primary Taxonomy103TC2200X
Legal Business NameSHANNON KERSEY, LPA
Location Address4425 RANDOLPH RD, SUITE 208Charlotte, NC 28211-2351
Mailing Address4425 Randolph Rd, Suite 208Charlotte, NC 28211-2351
Phone(704) 323-6586
Organization SubpartNo
Authorized OfficialShannon KerseySole Proprietor · (704) 323-6586
Enumeration DateNovember 2, 2011
✔ NPI 1164708228 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychologist · Clinical Child & AdolescentBehavioral Health & Social Service Providers
Taxonomy Code103TC2200X
License✔ Licensed in NC · 2531
Definition
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.
4425 RANDOLPH RD, Charlotte, NC 28211
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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. HOLLY BIELSTEIN SAVOY PH.D.
Psychologist (Group Psychotherapy)
4425 RANDOLPH RD, SUITE 411
CHARLOTTE, NC 28211
Mecklenburg County (704) 362-4041
RESIDENTIAL & SUPPORT SERVICES, INC.
Case Management
4425 RANDOLPH RD, SUITE 400
CHARLOTTE, NC 28211
Mecklenburg County (704) 536-6661
DR. CHASITY K ADAMS PSY.D.
Psychologist (Clinical)
4425 RANDOLPH RD, SUITE 411
CHARLOTTE, NC 28211
Mecklenburg County (704) 430-8455
MR. JOHN WARNKEN PSYCHOLOGIST
Psychologist
4425 RANDOLPH RD, SUITE 208
CHARLOTTE, NC 28211
Mecklenburg County (704) 364-6266
DR. SARA O. ELLETT PH. D.
Psychologist
4425 RANDOLPH RD, SUITE 411
CHARLOTTE, NC 28211
Mecklenburg County (704) 366-3400
KELSEY HORTON
Pharmacist
4425 RANDOLPH RD
CHARLOTTE, NC 28211
Mecklenburg County (704) 367-5208
RESIDENTIAL & SUPPORT SERVICES, INC.
Case Management
4425 RANDOLPH RD, SUITE 400
CHARLOTTE, NC 28211
Mecklenburg County (704) 536-6661
ANN SMOLIN, PH.D., PLLC
Psychologist (Clinical)
4425 RANDOLPH RD, SUITE 411
CHARLOTTE, NC 28211
Mecklenburg County (704) 576-7210

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Shannon Kersey, Lpa's NPI number?

The NPI number for Shannon Kersey, Lpa is 1164708228. It was assigned to this organization in the NPPES registry on November 2, 2011.

Where is Shannon Kersey, Lpa located?

Shannon Kersey, Lpa is located at 4425 Randolph Rd Suite 208, Charlotte, NC 28211. The listed phone number is (704) 323-6586.

What is Shannon Kersey, Lpa's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Clinical Child & Adolescent, with taxonomy code 103TC2200X.

When was this NPI record last updated?

The NPPES record for Shannon Kersey, Lpa was last updated on November 2, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.