Craig Shealy, PH.D.

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

0810002551 Issued in VA

Practice address

1050 Temple Ave Ste 222
Colonial Heights, VA 23834-2981

Phone

(540) 292-2557

Fax

(540) 886-3975

NPI assigned

Nov 5, 2009

Last updated

Jul 18, 2025By 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 1

Addresses

Medicare fee-for-service enrollment

Enrolled in VA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Clinical Psychologist

Education

Other, 1992

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

State licenses

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.

• Psychessentials Inc

  • Multi-Specialty Clinic/Center
  • Colonial Heights, VA
  • NPI 1497638324
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1257379200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1752796800000",
    "number": "1467789875",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1050 TEMPLE AVE STE 222",
            "city": "COLONIAL HEIGHTS",
            "state": "VA",
            "postal_code": "238342981",
            "telephone_number": "540-292-2557",
            "fax_number": "540-886-3975"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1050 TEMPLE AVE STE 222",
            "city": "COLONIAL HEIGHTS",
            "state": "VA",
            "postal_code": "238342981",
            "telephone_number": "540-292-2557",
            "fax_number": "540-886-3975"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHEALY",
        "first_name": "CRAIG",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2009-11-05",
        "last_updated": "2025-07-18",
        "certification_date": "2025-07-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "VA",
            "license": "0810002551",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Seth J Schweitzer DPM PC (Southern Virginia Foot and Ankle Center)
• Tonya Shah, NP
• Sarah Shahabuddin, MD
• Ruchi Sharma
• Vivek Sharma, MD
• Eric Radcliff Shell, D.D.S, M.S.
• Dorothy Ann Shellman, LPC, NCC, CSOTP
• Candice Shin, LCSW
• Earl Lewis Shufford, DDS
• Ambreen Sajjad Siddiquie, M.D

• Clinical Psychologist in Colonial Heights, VA
• Providers in Colonial Heights, VA by specialty
• Clinical Psychologist in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 18, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.