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

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  • 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 14 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
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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.

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
6107171MEDICAID (05)NC 

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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 1720190234, we treat the final digit (4) 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 56. The final step is to find the difference between that total and the next multiple of ten (60 - 56 = 4).

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
7
Unchanged
Pos 3
2
Doubled → 4
Pos 4
0
Unchanged
Pos 5
1
Doubled → 2
Pos 6
9
Unchanged
Pos 7
0
Doubled → 0
Pos 8
2
Unchanged
Pos 9
3
Doubled → 6
Check
4
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 2 → 4 1 → 2 0 → 0 3 → 6

Step 2: Add all digits plus the NPI constant

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

2 + 7 + 4 + 0 + 2 + 9 + 0 + 2 + 6 + 24 = 56

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

The next multiple of ten after 56 is 60. The difference is the calculated check digit.

60 - 56 = 4
This NPI is valid
The calculated check digit is 4, which matches the last digit of 1720190234.

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 Child & Adolescent)
4425 RANDOLPH RD, SUITE 208
CHARLOTTE, NC 28211
Psychologist (Clinical)
4425 RANDOLPH RD, SUITE 411
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 1720190234, enumerated 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.

Psychologist with taxonomy code 103TC2200X and 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 verify.