Daniel E. Shybunko, PHD., P.C.

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

0810001454 Issued in VA

Legal business name

DANIEL E. SHYBUNKO, PHD., P.C.

Practice address

108 Houston St Ste D
Lexington, VA 24450-2455

Phone

(540) 464-3003

Fax

(540) 464-3181

NPI assigned

Feb 9, 2010

Organization subpart

No

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

Authorized official

Name

Daniel E Shybunko, PH.D.

Title

President

Phone

(540) 464-3003

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1265673600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1265673600000",
    "number": "1992037360",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1068",
            "city": "LEXINGTON",
            "state": "VA",
            "postal_code": "244501068",
            "telephone_number": "540-464-3003",
            "fax_number": "540-464-3181"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "108 HOUSTON ST STE D",
            "city": "LEXINGTON",
            "state": "VA",
            "postal_code": "244502455",
            "telephone_number": "540-464-3003",
            "fax_number": "540-464-3181"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DANIEL E. SHYBUNKO, PHD., P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-02-09",
        "last_updated": "2010-02-09",
        "status": "A",
        "authorized_official_last_name": "SHYBUNKO",
        "authorized_official_first_name": "DANIEL",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "540-464-3003",
        "authorized_official_credential": "PH.D."
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist, Clinical",
            "state": "VA",
            "license": "0810001454",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "007754035",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• James Randolph Crews, MD
• Kelsey Lynn Croak, MED, LAT, ATC
• Dennis Cropper, PH. D.
• Toinette Marie Culp, PHYSICAL THERAPIST
• Elizabeth B. Curry, LPC
• Harvey Allen Davis, L.C.S.W.
• Brittany Evelyn Deisher
• Stephen Demma, RN
• Stephanie Jo Capalla Depositar, PHYSICAL THERAPIST
• Donald Clayton Devening Jr., D.D.S.

• All providers in Lexington, VA
• Clinical Psychologist in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 9, 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.