Organization Active NPI

Shelby Associates in Psychiatry, P.a.

  • Psychiatry Physician
  • Shelby, NC
National Provider Identifier
1922137454
Registry record updated Jul 24, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
40033 Issued in NC
Legal business name
SHELBY ASSOCIATES IN PSYCHIATRY, P.A.
Practice address
416 N Lafayette St
Shelby, NC 28150-4425
Phone
(704) 482-7395
Fax
(704) 482-7396
NPI assigned
Mar 2, 2007
Last updated
Jul 24, 2007By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 24, 2007

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

Authorized official

Name
Dr. William V. Van Fleet, M.D.
Title
President
Phone
(704) 482-7395

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X 40033 NC Primary

Addresses

Primary practice location

416 N Lafayette St
Shelby, NC 28150-4425

Mailing address

416 N Lafayette St
Shelby, NC 28150-4425
Phone (704) 482-7395

Other identifiers 1

IdentifierTypeStateIssuer
8902648MedicaidNC

National Provider Directory

National Provider Directory

Locations

416 N Lafayette St
Shelby, NC 28150
Phone (704) 482-7395

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1172793600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1185235200000",
    "number": "1922137454",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "416 N LAFAYETTE ST",
            "city": "SHELBY",
            "state": "NC",
            "postal_code": "281504425",
            "telephone_number": "704-482-7395",
            "fax_number": "704-482-7396"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "416 N LAFAYETTE ST",
            "city": "SHELBY",
            "state": "NC",
            "postal_code": "281504425",
            "telephone_number": "704-482-7395",
            "fax_number": "704-482-7396"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHELBY ASSOCIATES IN PSYCHIATRY, P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-02",
        "last_updated": "2007-07-24",
        "status": "A",
        "authorized_official_last_name": "VAN FLEET",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_middle_name": "V.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "704-482-7395",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "NC",
            "license": "40033",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8902648",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Shelby, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 24, 2007; 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.