Kevin J Sharkey, PH.D.

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

P000893 Issued in TN

Practice address

Psychology Service (116B)
J.H. Quillen VA Medical Center
Mountain Home, TN 37684-4000

Phone

(423) 926-1171

NPI assigned

Jul 5, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

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": "1152057600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1326079914",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "J. H. QUILLEN VA MEDICAL CENTER (116B)",
            "address_2": "P.O. BOX 4000",
            "city": "MOUNTAIN HOME",
            "state": "TN",
            "postal_code": "376844000",
            "telephone_number": "423-926-1171"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "PSYCHOLOGY SERVICE (116B)",
            "address_2": "J.H. QUILLEN VA MEDICAL CENTER",
            "city": "MOUNTAIN HOME",
            "state": "TN",
            "postal_code": "376844000",
            "telephone_number": "423-926-1171"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHARKEY",
        "first_name": "KEVIN",
        "middle_name": "J",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-05",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "TN",
            "license": "P000893",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jennifer Renee Sears, AU.D.
• John Adam Seneker, PHARM.D.
• James Travis Sexton, D.O.
• Binoy Jagdish Shah, M.D.
• Stephanie Sapna Shah, M.D.
• Diane C. Shelton
• Jared Michael Shelton, MD
• David Robert Shields Jr., MSW
• Roxy L Shortridge, FNP-BC
• Lawrence I Shotland, PH.D.

• Clinical Psychologist in Mountain Home, TN
• Providers in Mountain Home, TN by specialty
• Clinical Psychologist in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.