Sean Flannery, PHD

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

0810007367 Issued in VA

Practice address

675 Peter Jefferson Pkwy Ste 130
Charlottesville, VA 22911-8618

Phone

(434) 202-4080

NPI assigned

Feb 16, 2021

Sex

Male

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

State licenses

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

{
    "created_epoch": "1613433600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1613433600000",
    "number": "1568055150",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1507 WESTFIELD CT",
            "city": "CHARLOTTESVILLE",
            "state": "VA",
            "postal_code": "229011602",
            "telephone_number": "706-248-0695"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "675 PETER JEFFERSON PKWY STE 130",
            "city": "CHARLOTTESVILLE",
            "state": "VA",
            "postal_code": "229118618",
            "telephone_number": "434-202-4080"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FLANNERY",
        "first_name": "SEAN",
        "credential": "PHD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-02-16",
        "last_updated": "2021-02-16",
        "certification_date": "2021-02-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "VA",
            "license": "0810007367",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Chalotte Fitch, P.T.
• Cawood Fitzhugh, N.P.
• Five Star Morningside Charlottesville LLC
• Jennifer Weatherford Fjeseth, MED, LAT, ATC, CES
• Molly Flannagan, MD
• Anna Flebotte, DPT
• Micah Fleitman, LPC
• Lester M. Fleming, M.D.
• Mark Fleming II, M.D
• Lance E Flesch, MD

• Clinical Psychologist in Charlottesville, VA
• Providers in Charlottesville, 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 16, 2021; 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.