DR. SHANNON T. BOYER (NPI# 1124224894) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1124224894 |
| Entity Type | Individual |
| Full Name | DR. SHANNON T. BOYER |
| Credential | PHD PSYCHOLOGIST |
| Practice Address |
106 S Cleveland St Dayton TX 77535 |
| Mailing Address |
2080 Ne Clayton St Dayton TX 77535-2996 |
| Practice Telephone | 2818505735 |
| Practice Fax Number | 7134562673 |
| Mailing Telephone | 2815037221 |
| Mailing Fax Number | 7134562673 |
| Enumeration Date | 2007-06-21 |
| Last Update Date | 2018-12-13 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103T00000X | Psychologist | 25626 | TX | Behavioral Health & Social Service Providers |
| N | 103TA0400X |
Psychologist Specialization: Addiction (Substance Use Disorder) |
25626 | TX | Behavioral Health & Social Service Providers |
| N | 103TC0700X |
Psychologist Specialization: Clinical |
25626 | TX | Behavioral Health & Social Service Providers |
| N | 103TC1900X |
Psychologist Specialization: Counseling |
25626 | TX | Behavioral Health & Social Service Providers |
| N | 103TP2701X |
Psychologist Specialization: Group Psychotherapy |
25626 | TX | Behavioral Health & Social Service Providers |
| N | 103TR0400X |
Psychologist Specialization: Rehabilitation |
25626 | TX | Behavioral Health & Social Service Providers |
| N | 103TH0004X |
Psychologist Specialization: Health |
25626 | TX | Behavioral Health & Social Service Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 1350 N 23rd St, Beaumont, TX 777063603 | 2818505735 | 7134562673 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376055921 | Shannon Boyer | Social Worker | 8100 Three Chopt Rd Rm 226, Richmond, VA 23229-4833 | 2017-11-03 |
| 1932628062 | Shannon Boyer | Massage Therapist | 8 Baltimore St, Hanover, PA 17331-3108 | 2017-09-09 |
| 1770744609 | Shannon Christina Boyer | Nurse Practitioner | 777 N Raymond St, Boise, ID 83704-9251 | 2008-06-23 |
| 1407963010 | Shannon L Boyer | Ophthalmology | 2702 Rew Cir, Suite A, Ocoee, FL 34761-4226 | 2006-08-23 |
| Street Address |
106 S CLEVELAND ST |
| City | DAYTON |
| State | TX |
| Zip Code | 77535 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063063063 | Patsy A Conner | Technician | 101 Pine Place Street, Dayton, TX 77535 | 2019-09-23 |
| 1851949002 | Michele Lee Northrup | Pharmacist | 108 N Main, Ste B, Dayton, TX 77535 | 2019-08-30 |
| 1548761257 | Yolanda Tillis | Contractor | 604 Hope Street, Dayton, TX 77535 | 2018-02-27 |
| 1235668625 | Red Beard LLC | Assisted Living Facility | 265 County Road 613, Dayton, TX 77535 | 2017-06-08 |
| 1235560541 | Five Star Care Inc. | Pharmacy | 108-b North Main, Dayton, TX 77535 | 2013-12-12 |
| 1497888721 | Simmons Chiropractic and Wellness Center, P.C. | Chiropractor | 108 Sterling, Dayton, TX 77535 | 2007-03-14 |
| 1740235118 | Redman Family Practice Clinic | Family Medicine | 107 N Winfree, Dayton, TX 77535 | 2006-05-24 |
| 1831399492 | Dayton Isd | Local Education Agency (LEA) | 100 Cherry Creek Rd, Dayton, TX 77535-1301 | 2007-07-23 |
| 1215374608 | Todd Puckett | Counselor | 6 Skylark St, Dayton, TX 77535-1538 | 2013-05-27 |
| 1295168219 | Serenity's Home Care | Custodial Care Facility | 1407 Beauty St, Dayton, TX 77535-1605 | 2013-08-13 |
| Find all providers in zip 77535 | ||||
| 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 |
|---|---|---|---|---|
| 1659858157 | Karen A Evans Phd LLC | Psychologist | 7061 Corporate Way Ste 110, Dayton, OH 45459-4244 | 2018-07-26 |
| 1891240800 | Michelle Vaughan | Psychologist | 9 N Edwin C Moses, Dayton, OH 45435-8470 | 2016-08-19 |
| 1912376930 | Cheryl K. Fender | Psychologist | 2251 Timber Ln, Dayton, OH 45414-4532 | 2015-09-21 |
| 1053717157 | Ramesh Shah | Psychologist | 9 Bloomfield Ct, Dayton, NJ 08810-1620 | 2014-11-17 |
| 1427468321 | Kaitlyn A. Lang | Psychologist | 200 S Keowee St, Dayton, OH 45402-2242 | 2014-04-30 |
| 1942628946 | Mickala Frantz | Psychologist | 2821 Winburn Ave, Dayton, OH 45420-2259 | 2014-04-07 |
| 1417206954 | Cornerstone Project, LLC | Psychologist | 4124 Linden Ave, Suite 100, Dayton, OH 45432-3018 | 2012-08-30 |
| 1083979769 | Carol Ann Fiunk | Psychologist | 8 Sunset Ct, Dayton, NJ 08810-1622 | 2012-07-09 |
| 1114182037 | Maria Noce | Psychologist | 4100 W 3rd St # 116m, Dayton, OH 45428-9000 | 2008-07-21 |
| 1184783698 | Kathleen A Bonie | Psychologist | 1136 Wilmington Ave, Dayton, OH 45420 | 2006-12-08 |
| Find all providers in DAYTON | ||||
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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.