JAMES DEANE SHANNON (NPI# 1649372228) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1649372228 |
| Entity Type | Individual |
| Full Name | JAMES DEANE SHANNON |
| Credential | PA |
| Practice Address |
300 Foxglove Dr Mt Sterling KY 40353-9769 |
| Mailing Address |
Po Box 790 Ashland KY 41105-0790 |
| Practice Telephone | 8594982135 |
| Practice Fax Number | 8594987547 |
| Mailing Telephone | 6063298588 |
| Mailing Fax Number | 6063298195 |
| Enumeration Date | 2006-09-02 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103T00000X | Psychologist | 0655 | KY | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| KY | 30610026 | 05 | |
| ANTHEM BCBS | 000000350194 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306320205 | James Patrick Shannon Jr. | Chiropractor | 2040 Reserve Blvd Ste A, Spring Hill, TN 37174-0735 | 2018-09-18 |
| 1891226353 | James P. Shannon | Nurse Anesthetist, Certified Registered | 1 Boston Medical Ctr Pl, Boston, MA 02118-2908 | 2017-03-25 |
| Street Address |
300 FOXGLOVE DR |
| City | MT STERLING |
| State | KY |
| Zip Code | 40353-9769 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275556169 | Violet M. Luebs | Social Worker | 300 Foxglove Dr, Mt Sterling, KY 40353-9769 | 2006-07-25 |
| 1881202331 | Stephen Donithan | Community Health Worker | 300 Foxglove Dr, Mt Sterling, KY 40353-9769 | 2020-07-21 |
| 1548898737 | Kaitlyn French | Counselor | 300 Foxglove Dr, Mt Sterling, KY 40353-9769 | 2020-04-01 |
| 1083248199 | Colleen Sexton | Counselor | 300 Foxglove Dr, Mt Sterling, KY 40353-9769 | 2020-02-27 |
| 1609417450 | Travis Paul Drake | Counselor | 300 Foxglove Dr, Mt Sterling, KY 40353-9769 | 2019-10-02 |
| 1588214183 | Jerrica Shannon | Counselor | 300 Foxglove Dr, Mt Sterling, KY 40353-9769 | 2019-09-16 |
| 1952967572 | Megan Sexton | Counselor | 300 Foxglove Dr, Mt Sterling, KY 40353-9769 | 2019-05-20 |
| 1740746486 | Mindy Thornberry | Counselor | 300 Foxglove Dr, Mt Sterling, KY 40353-9769 | 2019-02-19 |
| 1336619204 | Christina Patton | Counselor | 300 Foxglove Dr, Mt Sterling, KY 40353-9769 | 2018-12-04 |
| 1609354620 | Carla Poskas | Social Worker | 300 Foxglove Dr, Mt Sterling, KY 40353 | 2018-08-01 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982237798 | Nicole Teann Fossier | Developmental Therapist | 220 Blake Way, Mt. Sterling, KY 40353 | 2020-02-20 |
| 1215414578 | Emily Renee Nickell | Optometrist | 1 N Maysville Street, Mt. Sterling, KY 40353 | 2018-07-19 |
| 1366978538 | Regency Memory Care | Assisted Living Facility | 130 Sterling Way, Mount Sterling, KY 40353 | 2017-05-10 |
| 1760838452 | Tammy Mccarty Mccarty | Developmental Therapist | 104 Iroquois Drive, Mount Sterling, KY 40353 | 2016-05-11 |
| 1447660089 | Gateway Juvenile Diversion Project, Inc. | Clinic/Center | 37 North Maysville St, Mt Sterlig, KY 40353 | 2014-05-05 |
| 1508285024 | Natalie Spencer | Counselor | 37 North Maysville St., Mt. Sterling, KY 40353 | 2014-04-11 |
| 1316371925 | Rocky Mountain Holdings LLC Dba Air Methods Kentucky | Ambulance | 709 Airport Rd, Mount Sterling, KY 40353 | 2013-08-30 |
| 1477999241 | Mckenzie S Grey | Physical Therapy Assistant | 624 North Maysville Ave, Mt Sterling, KY 40353 | 2013-05-20 |
| 1194066894 | Sterling Health Solutions, Inc | Pharmacy | 209 North Maysville St, Suite 200, Mt. Sterling, KY 40353 | 2013-03-06 |
| 1487930483 | Nathan Corey Rusher | Dentist | 635 N. Maysville St., Ste B, Mount Sterling, KY 40353 | 2011-10-24 |
| Find all providers in zip 40353 | ||||
| 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 |
|---|---|---|---|---|
| 1710124219 | Belinda Castle | Psychologist | 37 N Maysville St, Mt Sterling, KY 40353-1315 | 2009-01-21 |
| 1609913250 | Kristi Donaldson | Psychologist | 2479 Grassy Lick Rd, Mt Sterling, KY 40353 | 2007-01-31 |
| 1205326154 | Mary Blanton | Psychologist | 300 Foxglove Dr, Mt Sterling, KY 40353-9769 | 2018-05-16 |
| 1154723286 | Evan Rollins | Psychologist | 300 Foxglove Dr, Mt Sterling, KY 40353-9769 | 2014-09-19 |
| 1073862173 | Joshua K Turner | Psychologist | 300 Foxglove Drive, Mt Sterling, KY 40353-9769 | 2012-09-05 |
| 1043565740 | Lisa Grogan | Psychologist | 300 Foxglove Dr, Mt Sterling, KY 40353-9769 | 2012-07-18 |
| 1164792958 | Brittany Coleman | Psychologist | 300 Foxglove Dr, Mt Sterling, KY 40353-9769 | 2012-01-10 |
| 1467729608 | Steven A Wease | Psychologist | 300 Foxglove Dr, Mt Sterling, KY 40353-9769 | 2011-11-16 |
| 1477849404 | Jennifer Harn | Psychologist | 300 Foxglove Dr, Mt Sterling, KY 40353-9769 | 2011-06-28 |
| 1528366275 | Sandra Kaye Grossl | Psychologist | 300 Foxglove Dr, Mt Sterling, KY 40353-9769 | 2011-03-04 |
| Find all providers in MT STERLING | ||||
| City | MT STERLING |
| Zip Code | 40353 |
Please comment or provide details below to improve the information on JAMES DEANE 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.