Organization Active NPI

Dr Shanyn & Associates PC

Doing business as Care Counseling Center

  • Clinical Psychologist
  • Denver, NC
National Provider Identifier
1326223173
Registry record updated Dec 28, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
3388 Issued in NC
Legal business name
DR SHANYN & ASSOCIATES PC
Doing business as
Care Counseling Center
Practice address
2318 N Highway 16
Denver, NC 28037-8353
Phone
(704) 483-2273
Fax
(704) 483-2275
NPI assigned
Dec 28, 2007
Last updated
Dec 28, 2007By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 28, 2007

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

Authorized official

Name
Dr. Shanyn Aysta, PSY.D
Title
Owner
Phone
(704) 483-2273

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical PsychologistGroup: 193200000X MULTI-SPECIALTY GROUP 103TC0700X 3388 NC Primary

Addresses

Primary practice location

2318 N Highway 16
Denver, NC 28037-8353

Mailing address

PO Box 3086
Morganton, NC 28680-3086
Phone (828) 438-8577

Other identifiers 1

IdentifierTypeStateIssuer
6000988MedicaidNC

Other names 1

  • Care Counseling Center Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1198800000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1198800000000",
    "number": "1326223173",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 3086",
            "city": "MORGANTON",
            "state": "NC",
            "postal_code": "286803086",
            "telephone_number": "828-438-8577",
            "fax_number": "828-438-8507"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2318 N HIGHWAY 16",
            "city": "DENVER",
            "state": "NC",
            "postal_code": "280378353",
            "telephone_number": "704-483-2273",
            "fax_number": "704-483-2275"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR SHANYN & ASSOCIATES PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-12-28",
        "last_updated": "2007-12-28",
        "status": "A",
        "authorized_official_last_name": "AYSTA",
        "authorized_official_first_name": "SHANYN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "704-483-2273",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PSY.D"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist, Clinical",
            "state": "NC",
            "license": "3388",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "6000988",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Care Counseling Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Denver, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 28, 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.