LON SHACKELFORD PHD
NPI 1366455305
Psychologist in Charlottesville, VA

Active since August 14, 2006
1011 E JEFFERSON ST, CHARLOTTESVILLE, VA 22902(434) 296-9161(434) 296-1150 Get Directions Write a Review

NPPES record last updated: December 8, 2010. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Lon Shackelford Phd NPPES

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

LON SHACKELFORD PHD (NPI 1366455305) is an individual psychologist in Charlottesville, Virginia, licensed in Virginia (0810000773) and active in the NPI registry since August 2006.

NPPES Registry Identity

NPI1366455305
Entity TypeIndividualMale
Primary Taxonomy103T00000X
Provider Legal NameLON SHACKELFORDCredential: PHD
Location Address1011 E JEFFERSON STCharlottesville, VA 22902-5354
Mailing Address1011 E Jefferson StCharlottesville, VA 22902-5354 · (434) 971-9611
Fax(434) 296-1150
Sole ProprietorNo
Enumeration DateAugust 14, 2006
Last NPPES UpdateDecember 8, 2010
NPI 1366455305 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPsychologistBehavioral Health & Social Service Providers
Taxonomy Code103T00000X
License Licensed in VA · 0810000773
Definition
A psychologist is an individual who is licensed to practice psychology which is defined as the observation, description, evaluation, interpretation, and modification of human behavior by the application of psychological principles, methods, and procedures, for the purpose of preventing or eliminating symptomatic, maladaptive, or undesired behavior and of enhancing interpersonal relationships, work and life adjustment, personal effectiveness, behavioral health, and mental health. The practice of psychology includes, but is not limited to, psychological testing and the evaluation or assessment of personal characteristics, such as intelligence, personality, abilities, interests, aptitudes, and neuropsychological functioning; counseling, psychoanalysis, psychotherapy, hypnosis, biofeedback, and behavior analysis and therapy; diagnosis and treatment of mental and emotional disorder or disability, alcoholism and substance abuse, disorders of habit or conduct, as well as of the psychological aspects of physical illness, accident, injury, or disability; and psycheducational evaluation, therapy, remediation, and consultation. Psychological services may be rendered to individuals, families, groups and the public.
1011 E JEFFERSON ST, Charlottesville, VA 22902

Other Identifiers 3

Other333845VA · Anthem
Other083119VA · Veri/optima
Medicaid007711387VA

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.

Pediatrics
1011 E JEFFERSON ST
CHARLOTTESVILLE, VA 22902
Pediatrics
1011 E JEFFERSON ST
CHARLOTTESVILLE, VA 22902
Pediatrics
1011 E JEFFERSON ST
CHARLOTTESVILLE, VA 22902
Pediatrics
1011 E JEFFERSON ST
CHARLOTTESVILLE, VA 22902
Pediatrics
1011 E JEFFERSON ST
CHARLOTTESVILLE, VA 22902
Pediatrics
1011 E JEFFERSON ST
CHARLOTTESVILLE, VA 22902
Pediatrics
1011 E JEFFERSON ST
CHARLOTTESVILLE, VA 22902
Pediatrics
1011 E JEFFERSON ST
CHARLOTTESVILLE, VA 22902

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 Lon Shackelford's NPI number?

The NPI number for Lon Shackelford is 1366455305. It was assigned to this individual provider in the NPPES registry on August 14, 2006.

Where is Lon Shackelford located?

Lon Shackelford practices at 1011 E Jefferson St, Charlottesville, VA 22902. The listed phone number is (434) 296-9161.

What is Lon Shackelford's specialty?

The primary specialty registered for this NPI is Psychologist with taxonomy code 103T00000X.

When was this NPI record last updated?

The NPPES record for Lon Shackelford was last updated on December 8, 2010. NPI Profile syncs with the weekly NPPES data releases published by CMS.