SHANNON ELIZABETH KERSEY LPA
NPI 1720190234
Psychologist - Clinical Child & Adolescent in Charlotte, NC

Q: What is Shannon Kersey's NPI number?

The NPI number for Shannon Kersey is 1720190234. It was assigned to this individual provider in the NPPES registry on August 31, 2006.

Q: What is Shannon Kersey's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Shannon Kersey was last updated on September 25, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.

Active since August 31, 2006

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

NPPES record last updated: September 25, 2012. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Shannon Elizabeth Kersey Lpa NPPES

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

SHANNON ELIZABETH KERSEY LPA (NPI 1720190234) is an individual clinical child & adolescent provider in Charlotte, North Carolina, licensed in North Carolina (2531) and active in the NPI registry since August 2006.

NPPES Registry Identity

NPI1720190234

Entity TypeIndividualFemale

Primary Taxonomy103TC2200X

Provider Legal NameSHANNON ELIZABETH KERSEYCredential: LPA

Location Address4425 RANDOLPH RD, SUITE 208Charlotte, NC 28211-2351

Mailing Address4425 Randolph Rd, Suite 208Charlotte, NC 28211-2351 · (704) 323-6586

Phone(704) 323-6586

Sole ProprietorNo

Enumeration DateAugust 31, 2006

Last NPPES UpdateSeptember 25, 2012

✔ NPI 1720190234 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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Other Identifiers 1

Medicaid6107171NC

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

SHANNON KERSEY, LPA

Psychologist (Clinical Child & Adolescent)

4425 RANDOLPH RD, SUITE 208
CHARLOTTE, NC 28211

Mecklenburg County (704) 323-6586

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

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's NPI number?

The NPI number for Shannon Kersey is 1720190234. It was assigned to this individual provider in the NPPES registry on August 31, 2006.

Where is Shannon Kersey located?

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

What is Shannon Kersey'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 was last updated on September 25, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.