IndividualActive
Patricia Shannon, PHD, LP
NPI 1053419796 · Psychologist · Minneapolis, MN
Patricia Shannon, PHD, LP is a Psychologist provider in Minneapolis, MN (NPI 1053419796).
Provider details
- NPI number
- 1053419796
- Entity type
- Individual
- Primary specialty
- PsychologistBehavioral Health & Social Service Providers
- Credential
- PHD, LP
- Sex
- Female
- Sole proprietor
- No
- License
- 4075 (MN)
Specialties & taxonomies
Behavioral Health & Social Service Providers
Profile Score
Detailed profile(90/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
3133 Hennepin Ave
Minneapolis, MN 55408-2620
Phone: (612) 834-7780
Fax: (612) 624-3744
Street-level locationGet directions
Mailing address
3108 Hennepin Ave
Minneapolis, MN 55408-2619
Registry dates
- Enumerated
- 2006-09-20
- Last updated
- 2015-09-29
Frequently asked questions
- What is Patricia Shannon's NPI number?
- Patricia Shannon's National Provider Identifier (NPI) is 1053419796, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Patricia Shannon's specialty?
- Patricia Shannon is listed in the NPPES registry with a primary specialty of Psychologist (Behavioral Health & Social Service Providers).
- Where is Patricia Shannon located?
- Patricia Shannon's practice location on file with NPPES is 3133 Hennepin Ave, Minneapolis, MN 55408-2620.
- What is Patricia Shannon's phone number?
- The practice phone number listed in the NPPES registry for Patricia Shannon is (612) 834-7780.
- Is Patricia Shannon's NPI active?
- Yes — Patricia Shannon's NPI (1053419796) is active in the NPPES registry as of the last update on 2015-09-29.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.