Provider Demographics
NPI:1558160911
Name:PEART JAMES, SHELLY-ANN NICOLA (PSYD, LCP)
Entity type:Individual
Prefix:DR
First Name:SHELLY-ANN
Middle Name:NICOLA
Last Name:PEART JAMES
Suffix:
Gender:
Credentials:PSYD, LCP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:755 MARTIN LUTHER KING JR HWY
Mailing Address - Street 2:
Mailing Address - City:HARRISONBURG
Mailing Address - State:VA
Mailing Address - Zip Code:22807-1053
Mailing Address - Country:US
Mailing Address - Phone:540-568-6709
Mailing Address - Fax:
Practice Address - Street 1:755 MARTIN LUTHER KING JR HWY
Practice Address - Street 2:
Practice Address - City:HARRISONBURG
Practice Address - State:VA
Practice Address - Zip Code:22807-1053
Practice Address - Country:US
Practice Address - Phone:540-568-6709
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-03-10
Last Update Date:2025-03-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0810008837103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical