Shannon Clark, PHD
NPI 1225750565 · Clinical Child & Adolescent Psychologist · Dallas, TX
Enrolled with Medicare as Practitioner - Clinical Psychologist · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Shannon Clark, PHD is a Clinical Child & Adolescent Psychologist provider in Dallas, TX (NPI 1225750565).
Provider details
- NPI number
- 1225750565
- Entity type
- Individual
- Primary specialty
- Clinical Child & Adolescent PsychologistBehavioral Health & Social Service Providers
- Credential
- PHD
- Sex
- Female
- Sole proprietor
- No
- License
- 39324 (TX)
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
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
Mailing address
Registry dates
- Enumerated
- 2022-09-14
- Last updated
- 2022-09-14
- Certified
- 2022-09-14
Frequently asked questions
- What is Shannon Clark's NPI number?
- Shannon Clark's National Provider Identifier (NPI) is 1225750565, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Shannon Clark's specialty?
- Shannon Clark is listed in the NPPES registry with a primary specialty of Clinical Child & Adolescent Psychologist (Behavioral Health & Social Service Providers).
- Where is Shannon Clark located?
- Shannon Clark's practice location on file with NPPES is 1935 Medical District Dr, Dallas, TX 75235-7701.
- What is Shannon Clark's phone number?
- The practice phone number listed in the NPPES registry for Shannon Clark is (214) 456-7000.
- Does Shannon Clark accept Medicare?
- Shannon Clark is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Shannon Clark's NPI active?
- Yes — Shannon Clark's NPI (1225750565) is active in the NPPES registry as of the last update on 2022-09-14.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.