Active NPI
Wesley Shelley
- School Psychologist
- Ruckersville, VA
National Provider Identifier
1497287320
On this page
Key facts
NPPES NPI Registry- Primary specialty
- School Psychologist
- License
- 0803000259
- Practice address
- 69 Deane Rd
Ruckersville, VA 22968-3482 - Phone
- (434) 964-8351
- NPI assigned
- Mar 30, 2017
- Last updated
- Mar 30, 2017
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| School Psychologist | 103TS0200X | 0803000259 | VA | Primary |
Addresses
Primary practice location
69 Deane Rd
Ruckersville, VA 22968-3482
Mailing address
275 Logtrac Rd
Stanardsville, VA 22973-3702
Phone (434) 964-8351
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0803000259 | VA | MD | School Psychologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Wesley Shelley LLC | School | Current | Accepting new patients |
Organizations & group practices 1
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.
-
dba Wesley Shelley & Associates
- School Psychologist
- Charlottesville, VA
- NPI 1396586558
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1490832000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1490832000000",
"number": "1497287320",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "275 LOGTRAC RD",
"city": "STANARDSVILLE",
"state": "VA",
"postal_code": "229733702",
"telephone_number": "434-964-8351"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "69 DEANE RD",
"city": "RUCKERSVILLE",
"state": "VA",
"postal_code": "229683482",
"telephone_number": "434-964-8351"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SHELLEY",
"first_name": "WESLEY",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2017-03-30",
"last_updated": "2017-03-30",
"status": "A"
},
"taxonomies": [
{
"code": "103TS0200X",
"taxonomy_group": "",
"desc": "Psychologist, School",
"state": "VA",
"license": "0803000259",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Ruckersville, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 30, 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.