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Shadybrook Psychological Services Pllc

Clinical Psychologist in Clemmons, NC · enumerated 2022 · authorized official Susanne Palmer, Owner/Authorized Official.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1225799257

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Registry record

Entity type Organization (Type 2)
Legal business name Shadybrook Psychological Services Pllc
Practice address 2554 Lewisville Clemmons Rd Ste 304, Clemmons, NC, 27012
Phone (636) 487-7654
Enumeration date Jan 3, 2022
Last updated in NPPES Jun 17, 2024

Taxonomy & classification

103TC0700X Clinical Psychologist Behavioral Health & Social Service Providers Primary

Authorized official

Name Susanne Palmer
Title Owner/Authorized Official
Phone (336) 200-8808

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

How current is this record?
Data comes from the CMS NPPES public dissemination file; this record was last updated in NPPES on 2024-06-17. Verify at npiregistry.cms.hhs.gov.
Where is Shadybrook Psychological Services Pllc located?
The practice location on file with NPPES is in Clemmons, NC.

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2024-06-17.