William Shannon Van Wey, PHD

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

808 Issued in NC

Practice address

115 North Duke Street
Suite 1-B
Durham, NC 27701-2010

Phone

(919) 286-3453

Fax

(919) 286-7033

NPI assigned

Jun 26, 2006

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Other names 1

• Shannon Van Wey Professional name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

State licenses

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

{
    "created_epoch": "1151280000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1281657600000",
    "number": "1669409900",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "115 NORTH DUKE STREET",
            "address_2": "SUITE 1-B",
            "city": "DURHAM",
            "state": "NC",
            "postal_code": "277012010",
            "telephone_number": "919-286-3453",
            "fax_number": "919-286-7033"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "115 NORTH DUKE STREET",
            "address_2": "SUITE 1-B",
            "city": "DURHAM",
            "state": "NC",
            "postal_code": "277012010",
            "telephone_number": "919-286-3453",
            "fax_number": "919-286-7033"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VAN WEY",
        "first_name": "WILLIAM",
        "middle_name": "SHANNON",
        "credential": "PHD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-26",
        "last_updated": "2010-08-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "NC",
            "license": "808",
            "primary": false
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "NC",
            "license": "808",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SHANNON",
            "last_name": "VAN WEY",
            "credential": "PHD",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Holly Marie Van Horn, AUD
• Madeline Jin Van Husen
• Jenny Marie Van Kirk
• Heather A Van Mater
• Elizabeth Van Voorhees, PH.D.
• Rachel Vanbree, FNP, WHNP
• June P Vanbruggen, MD
• Iris Lillian Vance, MD
• Jeffrey Vance, PH.D.
• Kyle Jacob Vance, PA-C

• 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 Aug 13, 2010; 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.