NPIMap

Organization Active NPI

Catawba Valley Psychological Associates

  • Clinical Psychologist
  • Hickory, NC
National Provider Identifier
1285971374
Registry record updated Jan 9, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
3679 Issued in NC
Legal business name
CATAWBA VALLEY PSYCHOLOGICAL ASSOCIATES
Practice address
211-B Highway 127 S.E., Suite 130
Hickory, NC 28602-3541
Phone
(828) 848-8278
Fax
(828) 270-7868
NPI assigned
Jan 9, 2013
Last updated
Jan 9, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 9, 2013

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

Authorized official

Name
Mrs. Roberta Ann Shannon-Kirby, MA/CAS, LPANPI 1518217686
Title
Proprietor
Phone
(828) 848-8278

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical PsychologistGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 103TC0700X 3679 NC Primary
Counseling PsychologistGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 103TC1900X 3679 NC

Addresses

Primary practice location

211-B Highway 127 S.E., Suite 130
Hickory, NC 28602-3541

Mailing address

75 Browning Dr
Taylorsville, NC 28681-6642
Phone (828) 848-8278

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1357689600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1357689600000",
    "number": "1285971374",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "75 BROWNING DR",
            "city": "TAYLORSVILLE",
            "state": "NC",
            "postal_code": "286816642",
            "telephone_number": "828-848-8278"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "211-B HIGHWAY 127 S.E., SUITE 130",
            "city": "HICKORY",
            "state": "NC",
            "postal_code": "286023541",
            "telephone_number": "828-848-8278",
            "fax_number": "828-270-7868"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CATAWBA VALLEY PSYCHOLOGICAL ASSOCIATES",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-01-09",
        "last_updated": "2013-01-09",
        "status": "A",
        "authorized_official_last_name": "SHANNON-KIRBY",
        "authorized_official_first_name": "ROBERTA",
        "authorized_official_middle_name": "ANN",
        "authorized_official_title_or_position": "PROPRIETOR",
        "authorized_official_telephone_number": "828-848-8278",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "MA/CAS, LPA"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Psychologist, Clinical",
            "state": "NC",
            "license": "3679",
            "primary": true
        },
        {
            "code": "103TC1900X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Psychologist, Counseling",
            "state": "NC",
            "license": "3679",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hickory, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 9, 2013; 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.