DR. WILLIAM CLINTON MCSHERRY (NPI# 1932296613) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1932296613 |
| Entity Type | Individual |
| Full Name | DR. WILLIAM CLINTON MCSHERRY |
| Credential | PH.D. |
| Practice Address |
508 Fulton St Ambulatory Care Service - 11c Durham NC 27705-3875 |
| Practice Telephone | 9192860411 |
| Practice Fax Number | 9194168045 |
| Mailing Telephone | 9192860411 |
| Mailing Fax Number | 9194168045 |
| Enumeration Date | 2006-10-06 |
| Last Update Date | 2011-11-09 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103TH0100X |
Psychologist Specialization: Health Service |
03265 | MD | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124230289 | William Thomas Mcsherry | Counselor | 3260 N Hayden Rd, Suite 101, Scottsdale, AZ 85251-6649 | 2007-05-03 |
| Street Address |
508 FULTON ST AMBULATORY CARE SERVICE - 11C |
| City | DURHAM |
| State | NC |
| Zip Code | 27705-3875 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043217086 | Stuart Hall Manning | Internal Medicine | 508 Fulton St, C/o Durham Va Medical Center, Durham, NC 27705-3875 | 2005-07-06 |
| 1245839083 | Jessica Elizabeth Cornett | Recreation Therapist | 508 Fulton St, Durham, NC 27705-3875 | 2020-10-22 |
| 1043819808 | Rebecca Parker Maccioli | Recreation Therapist | 508 Fulton St, Durham, NC 27705-3875 | 2020-10-22 |
| 1174122055 | Aline Xayasouk | Occupational Therapist | 508 Fulton St, Durham, NC 27705-3875 | 2020-10-21 |
| 1730786187 | Kathryn Masincupp | Pharmacist | 508 Fulton St, Durham, NC 27705-3875 | 2020-10-07 |
| 1700490349 | Sarah Elizabeth Parker | Nurse Practitioner | 508 Fulton St, Durham, NC 27705-3875 | 2020-09-01 |
| 1144833716 | Phillip Charles Tampis | Pharmacist | 508 Fulton St, Durham, NC 27705-3875 | 2020-08-24 |
| 1164033445 | Alexandra Demascole | Social Worker | 508 Fulton St, Durham, NC 27705-3875 | 2020-08-11 |
| 1386254498 | Krishna Rana | Pharmacist | 508 Fulton St, Durham, NC 27705-3875 | 2020-08-04 |
| 1730799842 | Jinah Han | Pharmacist | 508 Fulton St, Durham, NC 27705-3875 | 2020-08-04 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295371755 | Tyler Beach, Lcsw, Pllc | Social Worker | 2740 Spencer Street, Durham, NC 27705 | 2019-11-20 |
| 1720635477 | Brittany W Fry | Registered Nurse | 2301 Erwin Road, Hafs Building, Room 6670, Durham, NC 27705 | 2019-08-19 |
| 1760968044 | Nicole D Moore | Social Worker | 1921 N. Pointe Dr, Suite 280, Durham, NC 27705 | 2018-07-19 |
| 1144757097 | Emileigh S Dowling | Physical Therapist | 3475 Erwin Rd Bldg 2, Durham, NC 27705 | 2017-05-22 |
| 1487195350 | Daniel Lynch | Physical Therapist | 3475 Erwin Road, Pepsico Building, Durham, NC 27705 | 2017-03-13 |
| 1780131839 | Michael A Fitzpatrick Iv | Physical Therapist | 3475 Erwin Rd Bldg 2nd, Durham, NC 27705 | 2016-09-07 |
| 1609241736 | Julia Power Constant | Physician Assistant | Dumc Box 3913, Durham, NC 27705 | 2015-12-01 |
| 1518344159 | Amanda Clark Coniglio | Internal Medicine | 2301 Erwin Rd # 3845, Durham, NC 27705 | 2015-05-04 |
| 1720486988 | Jennifer Dawn Pace | Physician Assistant | 1821 Hillandale Road Suite 24a, Duke Urgent Care, Durham, NC 27705 | 2014-12-19 |
| 1942612106 | Rachel Hibberd | Psychologist | 508 Fulton Avenue, Durham Va Medical Center, Durham, NC 27705 | 2014-05-22 |
| Find all providers in zip 27705 | ||||
| Taxonomy Code | 103TH0100X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Health Service |
| A psychologist, certified/licensed at the independent practice level in his/her state, who is duly trained and experienced in the delivery of direct, preventative, assessment, and therapeutic intervention services to individuals whose growth, adjustment, or functioning is actually impaired or is demonstrably at high risk of impairment (1974). |
| Notes: Source: National Register of Health Service Providers in Psychology website http://www.nationalregister.org/about_NR.html [7/1/2006: modified title, added definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700286010 | Rachel Elise Aiello | Psychologist | 2608 Erwin Rd Ste 300, Durham, NC 27705-4597 | 2014-08-25 |
| 1790851103 | Karin Ann Yoch | Psychologist | 2020 W Main St, Suite 301, Durham, NC 27705-4683 | 2006-11-28 |
| 1467495028 | Kristy Ann Straits-troster | Psychologist | 508 Fulton St, V6-mirecc, Durham, NC 27705-3875 | 2006-06-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063047793 | Carolinas Center for Evaluation and Treatment | Psychologist | 18151 W Catawba Ave Unit 15, Cornelius, NC 28031-5641 | 2020-03-03 |
| 1407495617 | John Leonard Ellis | Psychologist | 4439 Walnut Ridge Rd, Lenoir, NC 28645-3989 | 2020-01-06 |
| 1124670500 | Jenny Renville | Psychologist | 4600 Colony Rd Apt D, Charlotte, NC 28226-4833 | 2019-07-15 |
| 1942862552 | Edh1 LLC | Psychologist | 9027 Tibble Creek Way, Charlotte, NC 28227-6670 | 2019-07-03 |
| 1316446529 | Tiffany C. L. Bowden | Psychologist | 7341 Windy Ct W, Bailey, NC 27807 | 2018-02-03 |
| 1669983391 | Vickie Barnes | Psychologist | 110 Cameron Dr Apt 202, Elizabeth City, NC 27909-8914 | 2017-10-20 |
| 1194132878 | Stephen C Messer | Psychologist | 302 Copperline Dr Apt D, Chapel Hill, NC 27516-0416 | 2014-07-15 |
| 1356757918 | Reid Whiteside, Ph.d., P.C. | Psychologist | 1616 Evans Rd Ste 202, Cary, NC 27513 | 2014-07-03 |
| 1053755934 | Alisaha's Home Center | Psychologist | 8221 Ainsworth St, Charlotte, NC 28216-3693 | 2013-04-23 |
| 1982914560 | Alison Stacy Draper | Psychologist | 278 W Millbrook Rd, Raleigh, NC 27609 | 2010-10-15 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.