Individual provider Active NPI

Devon Shook, PH.D.

  • Psychologist
  • Charlotte, NC
National Provider Identifier
1043734965
Registry record updated Jun 4, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
Practice address
447 S Sharon Amity Rd Ste 250
Charlotte, NC 28211-2850
Phone
(704) 264-2973
NPI assigned
Aug 2, 2017
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 4, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychologist 103T00000X Primary

Addresses

Primary practice location

447 S Sharon Amity Rd Ste 250
Charlotte, NC 28211-2850

Mailing address

7401 Carmel Executive Park Dr Ste 210
Charlotte, NC 28226-0406

Other practice location 1

7401 Carmel Executive Park Dr Ste 210
Charlotte, NC 28226-0406
Phone (704) 752-8414

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Philosophy

Practice roles

OrganizationSpecialtyStatusNew patients
Seattle Childrens Hospital CurrentSince May 14, 2022 Accepting new patients
Seattle Children'S Hospital CurrentSince May 14, 2022 Accepting new patients
Cotswold Clinician Support Services CurrentSince Jun 9, 2024 Accepting new patients
Carolinas Counseling Group of Charlotte, Inc. Psychologist Past Accepting new patients

Locations

447 S Sharon Amity Rd
Ste 250
Charlotte, NC 28211
Phone (704) 264-2973

3315 Springbank Ln
Ste 300
Charlotte, NC 28226
Phone (704) 503-8196

1035 116th Ave NE
Bellevue, WA 98004
Phone (425) 451-4141

8232 W Grandridge Blvd
Kennewick, WA 99336
Phone (509) 582-1700

4800 Sand Point Way NE
Seattle, WA 98105
Phone (206) 526-2000

1780 NW Myhre Rd
Ste 2120
Silverdale, WA 98383
Phone (360) 782-3100

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1501632000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1780531200000",
    "number": "1043734965",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7401 CARMEL EXECUTIVE PARK DR STE 210",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282260406"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "447 S SHARON AMITY RD STE 250",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282112850",
            "telephone_number": "704-264-2973"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7401 Carmel Executive Park Dr Ste 210",
            "address_purpose": "LOCATION",
            "city": "Charlotte",
            "state": "NC",
            "postal_code": "282260406",
            "country_code": "US",
            "telephone_number": "704-752-8414",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SHOOK",
        "first_name": "DEVON",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-08-02",
        "last_updated": "2026-06-04",
        "certification_date": "2026-06-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Charlotte, NC

Sources for this page

Verify at the official NPI Registry.