Shannon Balaban, PHD
NPI 1093425985 · Clinical Psychologist · Phoenix, AZ
Enrolled with Medicare as Practitioner - Clinical Psychologist · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Shannon Balaban, PHD is a Clinical Psychologist provider in Phoenix, AZ (NPI 1093425985).
Provider details
- NPI number
- 1093425985
- Entity type
- Individual
- Primary specialty
- Clinical PsychologistBehavioral Health & Social Service Providers
- Credential
- PHD
- Sex
- Female
- Sole proprietor
- Yes
- License
- PSY-005745 (AZ)
Specialties & taxonomies
Behavioral Health & Social Service Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
3 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
3 documented practice locations
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
Mailing address
Additional practice locations (2)
- 1860 W Winchester Rd Ste 106Libertyville, IL 60048-5312Phone: (847) 816-6335
- 4600 Green Bay RdKenosha, WI 53144-1719Phone: (262) 286-1860
Registry dates
- Enumerated
- 2022-12-01
- Last updated
- 2025-03-04
- Certified
- 2025-03-04
Frequently asked questions
- What is Shannon Balaban's NPI number?
- Shannon Balaban's National Provider Identifier (NPI) is 1093425985, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Shannon Balaban's specialty?
- Shannon Balaban is listed in the NPPES registry with a primary specialty of Clinical Psychologist (Behavioral Health & Social Service Providers).
- Where is Shannon Balaban located?
- Shannon Balaban's practice location on file with NPPES is 9327 N 3rd St Ste 200, Phoenix, AZ 85020-2473.
- What is Shannon Balaban's phone number?
- The practice phone number listed in the NPPES registry for Shannon Balaban is (520) 595-5500.
- Does Shannon Balaban accept Medicare?
- Shannon Balaban is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Shannon Balaban's NPI active?
- Yes — Shannon Balaban's NPI (1093425985) is active in the NPPES registry as of the last update on 2025-03-04.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.