PATRICIA JEAN SHANNON (NPI# 1053419796) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1053419796 |
| Entity Type | Individual |
| Full Name | PATRICIA JEAN SHANNON |
| Credential | PHD, LP |
| Practice Address |
3133 Hennepin Ave Minneapolis MN 55408-2620 |
| Mailing Address |
3108 Hennepin Ave Minneapolis MN 55408-2619 |
| Practice Telephone | 6128347780 |
| Practice Fax Number | 6126243744 |
| Mailing Telephone | 6128254407 |
| Mailing Fax Number | 6128250768 |
| Enumeration Date | 2006-09-20 |
| Last Update Date | 2015-09-29 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103T00000X | Psychologist | 4075 | MN | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MN | 921813100 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942853999 | Patricia Anne Shannon | Social Worker | 6850 Meade St, Wellington, CO 80549-2274 | 2019-07-18 |
| 1144353996 | Patricia Ann Shannon | Occupational Therapist | 656 Fern St, Yeadon, PA 19050-3318 | 2007-03-13 |
| 1538724265 | Patricia Ann Shannon | Physician Assistant | 6355 Walker Ln Ste 507, Alexandria, VA 22310-3251 | 2019-05-08 |
| 1174049209 | Patricia Shannon | Licensed Practical Nurse | 151 N Main St, Decatur, IL 62523 | 2017-08-21 |
| 1629240205 | Patricia A Shannon | Counselor | 715 Sw Ramsey Ave, Grants Pass, OR 97527-5500 | 2008-03-24 |
| 1992895742 | Patricia Ann Shannon | Nurse Practitioner | 16620 N 40th St, Ste B-4, Phoenix, AZ 85032-3348 | 2006-10-13 |
| 1558381244 | Patricia Shannon | Internal Medicine | 45 Foster Rd, Hopewell Junction, NY 12533-6123 | 2006-07-19 |
| 1831129709 | Patricia Shannon | Physical Medicine & Rehabilitation | 1100 Blythe Blvd, Charlotte, NC 28203-5814 | 2006-07-04 |
| Street Address |
3133 HENNEPIN AVE |
| City | MINNEAPOLIS |
| State | MN |
| Zip Code | 55408-2620 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023030418 | Cynthia Crandall | Psychologist | 3133 Hennepin Ave, Minneapolis, MN 55408-2620 | 2006-07-24 |
| 1235534520 | Emily Knowlton Hunsicker | Social Worker | 3133 Hennepin Ave, Suite Two, Minneapolis, MN 55408-2620 | 2014-10-29 |
| 1548679814 | Kate Robinson, Psyd, Lp LLC | Community/Behavioral Health | 3133 Hennepin Ave, Minneapolis, MN 55408-2620 | 2014-08-12 |
| 1184048464 | Heather Smith | Social Worker | 3133 Hennepin Ave, Minneapolis, MN 55408-2620 | 2014-02-07 |
| 1093010597 | Katherine Robinson | Psychologist | 3133 Hennepin Ave, Minneapolis, MN 55408-2620 | 2011-01-14 |
| 1205053675 | Ling Carol Nathalia Hauth | Counselor | 3133 Hennepin Ave, Minneapolis, MN 55408-2620 | 2007-04-19 |
| 1972648046 | Crandall Counseling and Consulting, P.C. | Psychologist | 3133 Hennepin Ave, Minneapolis, MN 55408-2620 | 2007-02-20 |
| 1285791392 | Mary Louise Gooch | Marriage & Family Therapist | 3133 Hennepin Ave, Minneapolis, MN 55408-2620 | 2007-01-02 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548870512 | Community Solutions Services Inc | Counselor | 3043 2nd Ave South, Suite 101, Minneapolis, MN 55408 | 2020-08-05 |
| 1356962740 | Mohammad Mushtaq Khandwala | Student in an Organized Health Care Education/Training Program | 2810 Nicollet Avenue South, Minneapolis, MN 55408 | 2020-04-27 |
| 1861012700 | Open Arms Group Home LLC | Nursing Care | 1 W Lake St Suite 165 Unit 7, Minneapolis, MN 55408 | 2020-04-21 |
| 1538710413 | Yuejuan Bian | Acupuncturist | 2743 Lyndale Ave S, Suite 2, Minneapolis, MN 55408 | 2019-09-23 |
| 1710536081 | Blu Care Inc | Clinic/Center | 2910 Pillsbury Ave S Ste 338, Minneapolis, MN 55408 | 2019-09-09 |
| 1417510165 | Kau Macador Queeglay | Counselor | 621 West Lake Street Suite 350 Lynlake Building, Minneapolis, MN 55408 | 2019-04-18 |
| 1346735875 | Nicole S Ehrenberg | Social Worker | 324 E 35th Street, Minneapolis, MN 55408 | 2018-06-27 |
| 1639681612 | American Family Transportation Inc | Non-emergency Medical Transport (VAN) | 2910 Pillsbury Ave So Suite 434, Minneapolis, MN 55408 | 2017-10-30 |
| 1285181743 | Multilingual Word Inc | Interpreter | 1431 W 32nd St, Minneapolis, MN 55408 | 2016-09-01 |
| 1376906388 | Sama Healthcare | Family Medicine | 2639 Nicollet Ave., Suite 130, Minneapolis, MN 55408 | 2016-03-29 |
| Find all providers in zip 55408 | ||||
| Taxonomy Code | 103T00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| A psychologist is an individual who is licensed to practice psychology which is defined as the observation, description, evaluation, interpretation, and modification of human behavior by the application of psychological principles, methods, and procedures, for the purpose of preventing or eliminating symptomatic, maladaptive, or undesired behavior and of enhancing interpersonal relationships, work and life adjustment, personal effectiveness, behavioral health, and mental health. The practice of psychology includes, but is not limited to, psychological testing and the evaluation or assessment of personal characteristics, such as intelligence, personality, abilities, interests, aptitudes, and neuropsychological functioning; counseling, psychoanalysis, psychotherapy, hypnosis, biofeedback, and behavior analysis and therapy; diagnosis and treatment of mental and emotional disorder or disability, alcoholism and substance abuse, disorders of habit or conduct, as well as of the psychological aspects of physical illness, accident, injury, or disability; and psycheducational evaluation, therapy, remediation, and consultation. Psychological services may be rendered to individuals, families, groups and the public. |
| Notes: Source: American Psychological Association [1/1/2007: modified definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407496516 | Liza N Meredith | Psychologist | Acacia Counseling and Wellness, 2724 University Ave Se Unit B, Minneapolis, MN 55414 | 2020-01-07 |
| 1194368191 | Luz Angelica Fehn Salinas | Psychologist | 1315 E24th St, Minneapolis, MN 55404 | 2019-10-22 |
| 1164071148 | Amy C Moran | Psychologist | Acacia Counseling & Wellness, 2724 University Ave., Unit B, Minneapolis, MN 55414 | 2019-09-11 |
| 1104482074 | Sanvello Behavioral Health Services, P.a. | Psychologist | 150 S 5th St Ste 825, Minneapolis, MN 55402-4200 | 2019-05-15 |
| 1033674726 | Kristina Marie Duncombe Lowe | Psychologist | 910 E 26th St Ste 410, Minneapolis, MN 55404-4512 | 2019-02-06 |
| 1083192223 | Krista Yucuis | Psychologist | 725 8th Ave Se, Minneapolis, MN 55414-1364 | 2018-07-31 |
| 1720564941 | Shani Ofrat | Psychologist | 1 Veterans Dr # 2g-128, Minneapolis, MN 55417-2309 | 2018-07-11 |
| 1962998997 | Steven Wolinski | Psychologist | 3830 Washburn Ave N, Minneapolis, MN 55412 | 2018-07-02 |
| 1497268122 | Andrea Lynn Potthoff | Psychologist | 7300 Metro Blvd Ste 640, Minneapolis, MN 55439-2313 | 2017-11-16 |
| 1871046912 | Christine E Bray | Psychologist | 1100 Washington Ave S, Suite 102, Minneapolis, MN 55415-1273 | 2016-07-25 |
| Find all providers in MINNEAPOLIS | ||||
| City | MINNEAPOLIS |
| Zip Code | 55408 |
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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.