LON SHACKELFORD (PHD) – Psychologist, NPI 1366455305

LON SHACKELFORD (PHD) is a healthcare provider. based in Charlottesville, Virginia. specializing in Psychologist. They hold the professional credentials PHD. They hold a License No. 0810000773 (VA). The NPI Number for LON SHACKELFORD (PHD) is 1366455305

Main info

Male
Name
LON SHACKELFORD (PHD)
NPI
1366455305
Phone
(434) 971-9611
Address
1011 E JEFFERSON ST
Enumeration Date
14 August 2006
Last Update Date
8 December 2010
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience52
Completeness75
Years active:19State licenses:1Digital endpointsOther names

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Provider Addresses for LON SHACKELFORD (PHD)

  • 1011, Jefferson Street, Martha Jefferson, Charlottesville, Virginia, 22902, United States

    CHARLOTTESVILLE, VA 229025354

    Phone: (434) 971-9611

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

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Medicare Enrollment & Revalidation

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Educational use only—not medical, billing, or legal advice.

No Medicare enrollment or revalidation data available for this provider in our database.

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Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 22902)

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Frequently asked questions

What is the registry number for LON SHACKELFORD (PHD)?
The registry entry for LON SHACKELFORD (PHD) shows NPI 1366455305.
Is LON SHACKELFORD (PHD) currently accepting referrals based on NPI status?
Registry metadata lists LON SHACKELFORD (PHD) as active.
What services align with LON SHACKELFORD (PHD)'s listing?
LON SHACKELFORD (PHD)'s public classification highlights Psychologist. Clinical services aligned with this taxonomy classification.
Is LON SHACKELFORD (PHD) tied to Charlottesville, Virginia?
If you are local to Charlottesville, Virginia, LON SHACKELFORD (PHD) may be relevant to your search.
Can I export LON SHACKELFORD (PHD)'s record?
You can download the official NPPES record; we summarize key fields for readability.

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