Shannon Connell, PH.D., LLC
NPI 1457020877 · Clinical Psychologist · Holland, MI
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Shannon Connell, PH.D., LLC is a Clinical Psychologist organization in Holland, MI (NPI 1457020877).
Provider details
- NPI number
- 1457020877
- Entity type
- Organization
- Primary specialty
- Clinical PsychologistBehavioral Health & Social Service Providers
- Organization subpart
- No
- Authorized official
- Shannon Connell, Clinical Psychologist(616) 396-4846
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
4 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
- 2021-09-09
- Last updated
- 2021-09-09
- Certified
- 2021-09-09
Frequently asked questions
- What is Shannon Connell, PH.D., LLC's NPI number?
- Shannon Connell, PH.D., LLC's National Provider Identifier (NPI) is 1457020877, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Shannon Connell, PH.D., LLC?
- Shannon Connell, PH.D., LLC is classified in the NPPES registry as Clinical Psychologist (Behavioral Health & Social Service Providers).
- Where is Shannon Connell, PH.D., LLC located?
- Shannon Connell, PH.D., LLC's practice location on file with NPPES is 36 W 8th St Ste 200, Holland, MI 49423-2702.
- What is Shannon Connell, PH.D., LLC's phone number?
- The practice phone number listed in the NPPES registry for Shannon Connell, PH.D., LLC is (616) 396-4846.
- Does Shannon Connell, PH.D., LLC accept Medicare?
- Shannon Connell, PH.D., LLC is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Shannon Connell, PH.D., LLC?
- The authorized official listed on Shannon Connell, PH.D., LLC's NPPES record is Shannon Connell, Clinical Psychologist. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Shannon Connell, PH.D., LLC's NPI active?
- Yes — Shannon Connell, PH.D., LLC's NPI (1457020877) is active in the NPPES registry as of the last update on 2021-09-09.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.