DR. WILLIAM MACK SHANNON (NPI# 1063668275) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1063668275 |
| Entity Type | Individual |
| Full Name | DR. WILLIAM MACK SHANNON |
| Credential | PH.D. |
| Practice Address |
1207 Indiana St Apt 5 San Francisco CA 94107-3466 |
| Practice Telephone | 5102906203 |
| Mailing Telephone | 5102906203 |
| Enumeration Date | 2008-08-07 |
| Last Update Date | 2008-08-07 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 103T00000X | Psychologist | PSY-22103 | CA | Behavioral Health & Social Service Providers |
| Y | 103TB0200X |
Psychologist Specialization: Cognitive & Behavioral |
PSY-22103 | CA | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174081707 | William Shannon | General Practice | 1751 Admiral Taussig Blvd, Norfolk, VA 23511-2802 | 2019-03-02 |
| 1629387261 | William Michael Shannon | Family Medicine | 100 John Dantis Dr, Albuquerque, NM 87151-0100 | 2010-09-30 |
| 1457465544 | William Francis Shannon | Dentist | 1835 Oakland Avenue, Mercy Medical Plaza Bldg A, Portsmouth, OH 45662 | 2006-08-18 |
| 1043282221 | William P Shannon | Physical Medicine & Rehabilitation | 6630 University Ave, Middleton, WI 53562-3036 | 2006-02-02 |
| 1619958139 | William Bartholomew Shannon | Ophthalmology | 1061 X Ray Dr, Gastonia, NC 28054-7489 | 2005-11-10 |
| Street Address |
1207 INDIANA ST APT 5 |
| City | SAN FRANCISCO |
| State | CA |
| Zip Code | 94107-3466 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356969745 | Munashe Blessing Kaseke | Pharmacist | 1400 Tennessee St, Suite #2, San Francisco, CA 94107 | 2020-07-11 |
| 1598380891 | Alina Marshall | Technician, Other | 795 Folsom Street, 1st Floor, San Francisco, CA 94107 | 2020-06-11 |
| 1316582141 | Orapin Horst Dental Corporation | Dentist | 238 Shipley Street, San Franciscoq, CA 94107 | 2019-11-15 |
| 1497225239 | Jennifer Mclean | Physical Medicine & Rehabilitation | 105 Freelon St. #7, San Francisco, CA 94107 | 2018-12-04 |
| 1689183725 | Joyce Elizabeth Jacobs | Specialist | Sommhs, 760 Harrison Street, San Francisco, CA 94107 | 2017-09-20 |
| 1346767357 | Brittani A Toy | Technician, Other | 795 Folsom St. 1st Floor, San Francisco, CA 94107 | 2017-08-29 |
| 1942746276 | Marija Colic | Behavioral Analyst | 795 Folsom Street, San Francisco, CA 94107 | 2017-01-10 |
| 1861840340 | Calvin Shapses | Internal Medicine | 730 Harrison Street, Suite 100, San Francisco, CA 94107 | 2016-05-25 |
| 1568857290 | Loop Optometry | Optometrist | 252 5th Street, San Francisco, CA 94107 | 2015-03-31 |
| 1174914147 | Jake Wood Putnam Bagley | Physical Therapist | 303 2nd St Ste 115c, San Francisco, CA 94107 | 2015-02-12 |
| Find all providers in zip 94107 | ||||
| Taxonomy Code | 103TB0200X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Cognitive & Behavioral |
| Definition to come... |
| Notes: [1/1/2007: title modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619130713 | Teo Ernst | Psychologist | 1902 Webster St Ste 9, San Francisco, CA 94115-5811 | 2008-07-08 |
| 1487798898 | David Allen Nolley | Psychologist | 1754 Great Hwy, San Francisco, CA 94122-3923 | 2007-02-18 |
| 1144709627 | Polaris Insight Center | Psychologist | 4257 18th St, San Francisco, CA 94114-2409 | 2018-08-07 |
| 1235587775 | Kelsey Schraufnagel | Psychologist | 211 Gough St, San Francisco, CA 94102-5946 | 2016-05-25 |
| 1770858581 | Tania Shertock, Psychologist, A Professional Corporation | Psychologist | 18 Chenery St, San Francisco, CA 94131-2707 | 2012-03-12 |
| 1033409974 | Sally Lynn Payson Hays | Psychologist | 1102 Sanchez St, San Francisco, CA 94114-3825 | 2011-04-12 |
| 1770720781 | Dina Perez-neira | Psychologist | 220 Montgomery St, 400, San Francisco, CA 94104-3402 | 2009-01-13 |
| 1194986570 | William Gardner | Psychologist | 842 California St, San Francisco, CA 94108-2315 | 2008-06-19 |
| 1215113840 | William M Hartman | Psychologist | 1 Daniel Burnham Ct, Wmp, Suite 370-c, San Francisco, CA 94109-5455 | 2008-01-14 |
| 1659575868 | Steven Zlutnick | Psychologist | 450 Sutter St, Suite 2103, San Francisco, CA 94108-4206 | 2007-06-12 |
| Find all providers in SAN FRANCISCO | ||||
| City | SAN FRANCISCO |
| Zip Code | 94107 |
Please comment or provide details below to improve the information on DR. WILLIAM MACK SHANNON.
| 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.