Individual provider Active NPI

Shannon Sebastian Voor, PH.D.

  • Clinical Neuropsychologist
  • Louisville, KY
National Provider Identifier
1740586684
Registry record updated May 25, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical NeuropsychologistTaxonomy code 103G00000X
License
0966 Issued in KY
Practice address
220 Abraham Flexner Way
Psychology Department 6TH Floor
Louisville, KY 40202-3826
Phone
(502) 582-7484
Fax
(502) 582-7646
NPI assigned
Feb 9, 2011
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 25, 2011

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Neuropsychologist 103G00000X 0966 KY Primary
Clinical Neuropsychologist 103G00000X 20041025A IN

Addresses

Primary practice location

220 Abraham Flexner Way
Psychology Department 6TH Floor
Louisville, KY 40202-3826

Mailing address

6801 Dixie Hwy
Suite 130
Louisville, KY 40258-3913
Phone (502) 582-7484

Other identifiers 3

IdentifierTypeStateIssuer
89340079MedicaidKY
000000710020OtherKYANTHEM BC/BS
200127590MedicaidIN

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
0966KYMDProfessional Counselor
20041025AINMDClinical Neuropsychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Shannon S. Voor, PH.D., PLLC Clinical Neuropsychologist Past 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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1297209600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1306281600000",
    "number": "1740586684",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6801 DIXIE HWY",
            "address_2": "SUITE 130",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402583913",
            "telephone_number": "502-582-7484",
            "fax_number": "502-582-7646"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "220 ABRAHAM FLEXNER WAY",
            "address_2": "PSYCHOLOGY DEPARTMENT 6TH FLOOR",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402023826",
            "telephone_number": "502-582-7484",
            "fax_number": "502-582-7646"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VOOR",
        "first_name": "SHANNON",
        "middle_name": "SEBASTIAN",
        "credential": "PH.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-02-09",
        "last_updated": "2011-05-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103G00000X",
            "taxonomy_group": "",
            "desc": "Clinical Neuropsychologist",
            "state": "KY",
            "license": "0966",
            "primary": true
        },
        {
            "code": "103G00000X",
            "taxonomy_group": "",
            "desc": "Clinical Neuropsychologist",
            "state": "IN",
            "license": "20041025A",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "89340079",
            "state": "KY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM BC/BS",
            "identifier": "000000710020",
            "state": "KY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200127590",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Louisville, KY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 25, 2011; 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.