SHANNON NANNA (NPI# 1922330398) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1922330398 |
Entity Type | Individual |
Full Name | SHANNON NANNA |
Credential | PSYD |
Practice Address |
4921 Parkview Place Mailstop 90-35-703 Saint Louis MO 63117 |
Practice Telephone | 3147475060 |
Practice Fax Number | 3143621904 |
Mailing Telephone | 3147475060 |
Mailing Fax Number | 3143621904 |
Enumeration Date | 2010-02-09 |
Last Update Date | 2010-02-09 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 103TH0004X |
Psychologist Specialization: Health |
2008030851 | MO | Behavioral Health & Social Service Providers |
Street Address |
4921 PARKVIEW PLACE MAILSTOP 90-35-703 |
City | SAINT LOUIS |
State | MO |
Zip Code | 63117 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1295872026 | Cohen Eye Associates Limited | Optometrist | 4921 Parkview Place, Ste 14f, Saint Louis, MO 63110-1032 | 2007-01-31 |
1962939678 | Kari Gardner | Nurse Practitioner | 4921 Parkview Place, Ms #90-32-683, Saint Louis, MO 63110 | 2017-05-12 |
1447644125 | Alysa Young | Nurse Practitioner | 4921 Parkview Place, Mailstop 90-32-683, Saint Louis, MO 63110 | 2015-03-20 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1255956611 | Efehi Kelly Ogbomo | Student in an Organized Health Care Education/Training Program | 6420 Clayton Rd, Suite 2218, St. Louis, MO 63117 | 2020-06-11 |
1619533890 | Abdul Rauf | Student in an Organized Health Care Education/Training Program | 6420 Clayton Road. Ssm Health St. Mary's Hospital, St. Louis, MO 63117 | 2019-05-14 |
1083278477 | Mohamed Maali Gumaa Mohamed | Student in an Organized Health Care Education/Training Program | 6420 Clayton Road Ssm St. Mary's Hospital, Department of Internal Medicine, St. Louis, MO 63117 | 2019-05-01 |
1750945556 | Samrat Jun Jayanth | Student in an Organized Health Care Education/Training Program | 6420 Clayton Road, Ssm Health St Mary's Hospital, St. Louis, MO 63117 | 2019-04-26 |
1215491329 | Latonya Allen | Counselor | 1612 S. Big Bend Blvd, St. Louis, MO 63117 | 2019-01-23 |
1265917025 | Blue Stars Therapy, LLC | Occupational Therapist | 1101 Edward Terrace, Apt A, St. Louis, MO 63117 | 2018-09-27 |
1770060014 | Ultra Care Home Services LLC | Home Health | 7353 Dale Ave, Saint Louis, MO 63117 | 2018-07-19 |
1235623562 | Melissa Valerie Taylor | Counselor | Psychological Services of St Louis, LLC, 7110 Oakland Ave, St Louis, MO 63117 | 2018-06-20 |
1124517289 | Jideofor Ebony Obodozie | Student in an Organized Health Care Education/Training Program | 6420 Clayton Road, Ssm St. Mary's Hospital, St. Louis, MO 63117 | 2018-05-04 |
1770071706 | Sivaram Prabhuji Muppaneni | Student in an Organized Health Care Education/Training Program | Ssm St Mary's Hospital, 6420 Clayton Road, St. Louis, MO 63117 | 2018-04-25 |
Find all providers in zip 63117 |
Taxonomy Code | 103TH0004X |
Grouping | Behavioral Health & Social Service Providers |
Classification | Psychologist |
Specialization | Health |
The distinct focus of the clinical health psychologist is on physical health problems. A clinical health psychologist has special expertise or training in clinical health psychology and applies scientific knowledge of the interrelationships among behavioral, emotional, cognitive, social and biological components in health and disease to the promotion and maintenance of health; the prevention, treatment and rehabilitation of illness and disability; and the improvement of the health care system. Clinical health psychologists are dedicated to the development of knowledge regarding the interface between behavior and health, and to the delivery of high quality services based on that knowledge to individuals, families, and health care. |
Notes: Source: American Psychological Association Commission for the Recognition of Specialties and Proficiencies in Professional Psychology, 2008. [1/1/2007: new, 7/1/2008: definiton added, source added] |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1023220589 | Diane G Sanford | Psychologist | 425 N New Ballas Rd, Suite 195, Saint Louis, MO 63141-6814 | 2007-05-04 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1649623562 | Heather Kay Wadeson | Psychologist | 530 E 34th St, Joplin, MO 64804-3926 | 2016-07-15 |
1780812727 | Ryan Cox | Psychologist | 2310 Holmes St, Oncology Clinic, Kansas City, MO 64108-2602 | 2009-06-29 |
City | SAINT LOUIS |
Zip Code | 63117 |
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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.