Shadybrook Psychological Services PLLC
NPI 1225799257 · Clinical Psychologist · Clemmons, NC
Shadybrook Psychological Services PLLC is a Clinical Psychologist organization in Clemmons, NC (NPI 1225799257).
Provider details
- NPI number
- 1225799257
- Entity type
- Organization
- Primary specialty
- Clinical PsychologistBehavioral Health & Social Service Providers
- Organization subpart
- No
- Authorized official
- Susanne Palmer, Owner/Authorized Official(336) 200-8808
Specialties & taxonomies
Behavioral Health & Social Service Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
4 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2022-01-03
- Last updated
- 2024-06-17
- Certified
- 2024-06-17
Frequently asked questions
- What is Shadybrook Psychological Services PLLC's NPI number?
- Shadybrook Psychological Services PLLC's National Provider Identifier (NPI) is 1225799257, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Shadybrook Psychological Services PLLC?
- Shadybrook Psychological Services PLLC is classified in the NPPES registry as Clinical Psychologist (Behavioral Health & Social Service Providers).
- Where is Shadybrook Psychological Services PLLC located?
- Shadybrook Psychological Services PLLC's practice location on file with NPPES is 2554 Lewisville Clemmons Rd Ste 304, Clemmons, NC 27012-8749.
- What is Shadybrook Psychological Services PLLC's phone number?
- The practice phone number listed in the NPPES registry for Shadybrook Psychological Services PLLC is (636) 487-7654.
- Who is the authorized official for Shadybrook Psychological Services PLLC?
- The authorized official listed on Shadybrook Psychological Services PLLC's NPPES record is Susanne Palmer, Owner/Authorized Official. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Shadybrook Psychological Services PLLC's NPI active?
- Yes — Shadybrook Psychological Services PLLC's NPI (1225799257) is active in the NPPES registry as of the last update on 2024-06-17.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.