Jennifer Shannon Filcoff, PH.D.

Primary specialty

Exercise & Sports PsychologistTaxonomy code 103TE1100X

License

PSY3805 Issued in CO

Practice address

2500 Regency Pkwy
Cary, NC 27518-8549

Phone

(919) 654-3004

NPI assigned

Jul 18, 2014

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other names 1

• Dr. Jeni Shannon Professional name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Philosophy

State licenses

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

{
    "created_epoch": "1405641600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1405641600000",
    "number": "1275940561",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2500 REGENCY PKWY",
            "city": "CARY",
            "state": "NC",
            "postal_code": "275188549",
            "telephone_number": "919-654-3004"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2500 REGENCY PKWY",
            "city": "CARY",
            "state": "NC",
            "postal_code": "275188549",
            "telephone_number": "919-654-3004"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FILCOFF",
        "first_name": "JENNIFER",
        "middle_name": "SHANNON",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-07-18",
        "last_updated": "2014-07-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC1900X",
            "taxonomy_group": "",
            "desc": "Psychologist, Counseling",
            "state": "CO",
            "license": "PSY3805",
            "primary": false
        },
        {
            "code": "103TE1100X",
            "taxonomy_group": "",
            "desc": "Psychologist, Exercise & Sports",
            "state": "CO",
            "license": "PSY3805",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JENI",
            "last_name": "SHANNON",
            "prefix": "DR.",
            "credential": "PH.D.",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Kirsten Ashley Figaro, MS, LMFTA
• Jaconda Fightmaster
• Sarah Louise Figueras
• Heaven Figueroa
• Jada Figueroa
• Brittany Fillebrown, M.S.
• Rosandrey Fils-Aime
• Grace Lynn Finkle, PHD
• Melissa Rae Finley
• Patrick B Finnegan, PHARMD

• Exercise & Sports Psychologist in Cary, NC
• Providers in Cary, NC by specialty
• Exercise & Sports Psychologist in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 18, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.