Individual provider Active NPI

Rowland Ward Shank Jr., PHD

  • Clinical Psychologist
  • Harrisonburg, VA
National Provider Identifier
1700868965
Registry record updated May 27, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
0810004404 Issued in VA
Practice address
370 Neff Ave
Unit L
Harrisonburg, VA 22801-3438
Phone
(540) 433-2858
Fax
(540) 433-1175
NPI assigned
Nov 15, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 27, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X 0810004404 VA Primary

Addresses

Primary practice location

370 Neff Ave
Unit L
Harrisonburg, VA 22801-3438

Mailing address

370 Neff Ave
Unit L
Harrisonburg, VA 22801-3438
Phone (540) 433-2858

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)
Enrolled
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
0810004404VAMDClinical Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Commonwealth Psychological Services, PLC Clinical Past Accepting new patients
Behavioral Healthcare Consultants, P.C. PastSince Jan 1, 2009 Accepting new patients

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1132012800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1401148800000",
    "number": "1700868965",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "370 NEFF AVE",
            "address_2": "UNIT L",
            "city": "HARRISONBURG",
            "state": "VA",
            "postal_code": "228013438",
            "telephone_number": "540-433-2858",
            "fax_number": "540-433-1175"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "370 NEFF AVE",
            "address_2": "UNIT L",
            "city": "HARRISONBURG",
            "state": "VA",
            "postal_code": "228013438",
            "telephone_number": "540-433-2858",
            "fax_number": "540-433-1175"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHANK",
        "first_name": "ROWLAND",
        "middle_name": "WARD",
        "name_suffix": "Jr.",
        "credential": "PHD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-11-15",
        "last_updated": "2014-05-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "VA",
            "license": "0810004404",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Harrisonburg, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 27, 2014; 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.