Active NPI
David Gardner Shoemaker, PSY.D.
- Psychologist
- Chapel Hill, NC
National Provider Identifier
1922039189
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- License
- 5593
- Practice address
- 100 Europa Dr Ste 403
Chapel Hill, NC 27517-2389 - Phone
- (916) 492-6311
- Fax
- (866) 611-0706
- NPI assigned
- Jul 6, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychologist | 103T00000X | PSY15369 | CA | |
| Psychologist | 103T00000X | 5593 | NC | Primary |
Addresses
Primary practice location
100 Europa Dr Ste 403
Chapel Hill, NC 27517-2389
Mailing address
2744 Toxey Drive
Raleigh, NC 27609
Phone (916) 492-6311
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1152144000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1590537600000",
"number": "1922039189",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2744 TOXEY DRIVE",
"city": "RALEIGH",
"state": "NC",
"postal_code": "27609",
"telephone_number": "916-492-6311",
"fax_number": "866-611-0706"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "100 EUROPA DR STE 403",
"city": "CHAPEL HILL",
"state": "NC",
"postal_code": "275172389",
"telephone_number": "916-492-6311",
"fax_number": "866-611-0706"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SHOEMAKER",
"first_name": "DAVID",
"middle_name": "GARDNER",
"name_prefix": "Dr.",
"credential": "PSY.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-07-06",
"last_updated": "2020-05-27",
"certification_date": "2020-05-27",
"status": "A"
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "CA",
"license": "PSY15369",
"primary": false
},
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "NC",
"license": "5593",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Chapel Hill, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 27, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.