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DESTIN SHORTELL PHD
NPI 1982550273
Clinical Neuropsychologist in Salem, VA

Active since March 09, 2026
1970 ROANOKE BLVD, SALEM, VA 24153(540) 982-2463 Get Directions Write a Review

NPPES record last updated: March 9, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Destin Shortell Phd NPPES

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

DESTIN SHORTELL PHD (NPI 1982550273) is an individual clinical neuropsychologist in Salem, Virginia and active in the NPI registry since March 2026.

NPPES Registry Identity

NPI1982550273
Entity TypeIndividualFemale
Primary Taxonomy103G00000X
Provider Legal NameDESTIN SHORTELLCredential: PHD
Location Address1970 ROANOKE BLVDSalem, VA 24153-6404
Mailing Address4 Brewer St Apt 1Jamaica Plain, MA 02130-4054
Phone(540) 982-2463
Sole ProprietorNo
Enumeration DateMarch 9, 2026
NPPES CertifiedMarch 9, 2026
✔ NPI 1982550273 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinical NeuropsychologistBehavioral Health & Social Service Providers
Taxonomy Code103G00000X
Definition
A clinical psychologist who applies principles of assessment and intervention based upon the scientific study of human behavior as it relates to normal and abnormal functioning of the central nervous system. The specialty is dedicated to enhancing the understanding of brain-behavior relationships and the application of such knowledge to human problems.
1970 ROANOKE BLVD, Salem, VA 24153
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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.

MS. MALINDA FAYE SHELOR-ROGERS MSW, ACSW, LCSW
Social Worker (Clinical)
1970 ROANOKE BLVD, SALEM VA MEDICAL CENTER
SALEM, VA 24153
Salem City (540) 982-2463
DR. PETER LEWIS WILLS PHARM.D.
Pharmacist
1970 ROANOKE BLVD, DEPARTMENT 119
SALEM, VA 24153
Salem City (540) 982-2463
DR. JAMES PAARLBERG PHARMD
Pharmacist (Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist)
1970 ROANOKE BLVD
SALEM, VA 24153
Salem City (540) 982-2463
JENNA ST PIERRE PHARMD
Pharmacist
1970 ROANOKE BLVD
SALEM, VA 24153
Salem City (540) 982-2463
LAUREN HAGEMANN PH.D
Psychologist (Clinical)
1970 ROANOKE BLVD
SALEM, VA 24153
Salem City (540) 982-2463
TANYA WILLARD NURSE PRACTITIONER
Nurse Practitioner (Family)
1970 ROANOKE BLVD
SALEM, VA 24153
Salem City (540) 982-2463
JOSETTE ANTOINE LPN
Licensed Practical Nurse
1970 ROANOKE BLVD
SALEM, VA 24153
Salem City (540) 982-2463
DR. JASBIR MAVI M.D.
Preventive Medicine (Public Health & General Preventive Medicine)
1970 ROANOKE BLVD, VAMC SALEM
SALEM, VA 24153
Salem City (540) 982-2463

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 Destin Shortell's NPI number?

The NPI number for Destin Shortell is 1982550273. It was assigned to this individual provider in the NPPES registry on March 9, 2026.

Where is Destin Shortell located?

Destin Shortell practices at 1970 Roanoke Blvd, Salem, VA 24153. The listed phone number is (540) 982-2463.

What is Destin Shortell's specialty?

The primary specialty registered for this NPI is Clinical Neuropsychologist with taxonomy code 103G00000X.

When was this NPI record last updated?

The NPPES record for Destin Shortell was last updated on March 9, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 months 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.