Shannon Blakey, PHD

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

5911 Issued in NC

Practice address

600 Park Offices Drive, Ste 300
#4030
Durham, NC 27713-2887

Phone

(919) 283-3698

NPI assigned

Jun 18, 2025

Last updated

Jun 21, 2025By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Redstart Psychological Services, PLLC

  • Clinical Psychologist
  • Durham, NC
  • NPI 1447147517
  NPD Authorized official

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

{
    "created_epoch": "1750204800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1750464000000",
    "number": "1457247074",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "600 PARK OFFICES DRIVE, STE 300",
            "address_2": "#4030",
            "city": "DURHAM",
            "state": "NC",
            "postal_code": "277132887"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "600 PARK OFFICES DRIVE, STE 300",
            "address_2": "#4030",
            "city": "DURHAM",
            "state": "NC",
            "postal_code": "277132887",
            "telephone_number": "919-283-3698"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BLAKEY",
        "first_name": "SHANNON",
        "credential": "PHD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-06-18",
        "last_updated": "2025-06-21",
        "certification_date": "2025-06-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "NC",
            "license": "5911",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jersey Blair
• Canaan Blake, FNP
• Pashyon N Blake, MSW, LCSWA
• Stephanie McCallum Blake, MSN, NNP-BC
• Thomas Matthew Blakemore, PA-C
• Daniel Vanhoy Blalock, PHD
• Kyla Machell Blalock, PHD
• Sarah Blanchard, MD
• Tyra Blanchard
• Paula Blanco Canet, MS, RD

• Clinical Psychologist in Durham, NC
• Providers in Durham, NC by specialty
• Clinical Psychologist in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 21, 2025; 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.