MR. DANIEL WATKINS SHATTUCK PH.D. LCMHC NPI 1558315820

NPI Information

NPI: 1558315820
Provider Name: MR. DANIEL WATKINS SHATTUCK, PH.D., LCMHC
Classification: Counselor - 101YM0800X
Entity Type: Individual

Specialization: Mental Health

Address:
2501 ATRIUM DR STE 100
RALEIGH, NC
ZIP 27607
Phone: (919) 763-2760
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MR. Daniel Watkins Shattuck, PH.D., LCMHC is a mental health counselor in Raleigh, NC. MR. Daniel Watkins Shattuck, PH.D., LCMHC NPI is 1558315820. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

2501 ATRIUM DR STE 100
RALEIGH, NC
ZIP 27607-452
Phone: (919) 763-2760
Fax: (919) 359-9705

The enumeration date for this NPI number is 5/20/2006 and was last updated on 12/1/2021.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	101YP2500X	Counselor	Professional	3398	NORTH CAROLINA	No
2	101YM0800X	Counselor	Mental Health	3398	NORTH CAROLINA	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	E0478	OTHER	NORTH CAROLINA	MEDCOST PREFERRED
2	6102454	MEDICAID	NORTH CAROLINA
3	75888	OTHER	NORTH CAROLINA	BLUE CROSS AND BLUE SHIEL

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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