Active NPI
Shelley Anne Dean I, OTD, OTR/L
- Specialist
- Charlotte, NC
National Provider Identifier
1659317162
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- License
- 4306 OTR/L
- Practice address
- 9111 Monroe Rd Ste 100
Charlotte, NC 28270-2460 - Phone
- (704) 847-3911
- Fax
- (704) 847-2033
- NPI assigned
- Jun 22, 2006
- Last updated
- Jun 2, 2025
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychologist | 103T00000X | NU | ||
| Specialist | 174400000X | 4306 OTR/L | NC | Primary |
| Behavior Analyst | 103K00000X | NU |
Addresses
Primary practice location
9111 Monroe Rd Ste 100
Charlotte, NC 28270-2460
Mailing address
9111 Monroe Rd Ste 100
Charlotte, NC 28270-2460
Phone (704) 847-3911
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| B0333 | Other | NC | MEDCOST |
| 7301435 | Medicaid | NC | |
| 138EE | Other | NC | BCBS |
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 |
|---|---|---|---|
| 4306 OTR/L | NC | MD | Specialist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Crossway, Inc. | Current | Accepting new patients |
Locations
9129 Monroe Rd
Ste 100105
Charlotte, NC 28270
Phone (704) 847-2911
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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1150934400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1748822400000",
"number": "1659317162",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9111 MONROE RD STE 100",
"city": "CHARLOTTE",
"state": "NC",
"postal_code": "282702460",
"telephone_number": "704-847-3911"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9111 MONROE RD STE 100",
"city": "CHARLOTTE",
"state": "NC",
"postal_code": "282702460",
"telephone_number": "704-847-3911",
"fax_number": "704-847-2033"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DEAN",
"first_name": "SHELLEY",
"middle_name": "ANNE",
"name_suffix": "I",
"credential": "OTD, OTR/L",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-06-22",
"last_updated": "2025-06-02",
"certification_date": "2025-06-02",
"status": "A"
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "NU",
"license": null,
"primary": false
},
{
"code": "174400000X",
"taxonomy_group": "",
"desc": "Specialist",
"state": "NC",
"license": "4306 OTR/L",
"primary": true
},
{
"code": "103K00000X",
"taxonomy_group": "",
"desc": "Behavior Analyst",
"state": "NU",
"license": null,
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDCOST",
"identifier": "B0333",
"state": "NC"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "7301435",
"state": "NC"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "138EE",
"state": "NC"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Charlotte, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 2, 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.