Kenneth Earle Showalter, PSY. D.

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

0810001960 Issued in VA

Practice address

1320 Ohio St
Suite M-1
Waynesboro, VA 22980-2467

Phone

(540) 448-2538

NPI assigned

May 3, 2007

Last updated

Feb 20, 2017By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1178150400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1487548800000",
    "number": "1447462494",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1320 OHIO ST",
            "address_2": "SUITE M-1",
            "city": "WAYNESBORO",
            "state": "VA",
            "postal_code": "229802467",
            "telephone_number": "540-448-2538"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1320 OHIO ST",
            "address_2": "SUITE M-1",
            "city": "WAYNESBORO",
            "state": "VA",
            "postal_code": "229802467",
            "telephone_number": "540-448-2538"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHOWALTER",
        "first_name": "KENNETH",
        "middle_name": "EARLE",
        "name_prefix": "Dr.",
        "credential": "PSY. D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-05-03",
        "last_updated": "2017-02-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "VA",
            "license": "0810001960",
            "primary": true
        },
        {
            "code": "103TF0200X",
            "taxonomy_group": "",
            "desc": "Psychologist, Forensic",
            "state": "VA",
            "license": "0810001960",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Shenandoah Valley Counseling Center, LLC
• Shenandoah Valley Gastroenterology Center, PLLC
• Rebecca Hea-Sun Shin, D.M.D.
• Charles Hunter Shomo II, NP
• Gerald R Showalter, PSY.D
• Kerry Showalter, DPT, PT
• Leah L Showalter, OT
• Darold Shrewsbury III
• Siloam Direct Primary Care, PLLC
• Raeanna Poplus Simcoe, MD

• Clinical Psychologist in Waynesboro, VA
• Providers in Waynesboro, VA by specialty
• Clinical Psychologist in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 20, 2017; 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.