Kelly Shannon, PHD
NPI 1699874198 · Clinical Psychologist · San Antonio, TX
Enrolled with Medicare as Practitioner - Clinical Psychologist · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Kelly Shannon, PHD is a Clinical Psychologist provider in San Antonio, TX (NPI 1699874198).
Provider details
- NPI number
- 1699874198
- Entity type
- Individual
- Primary specialty
- Clinical PsychologistBehavioral Health & Social Service Providers
- Credential
- PHD
- Sex
- Male
- Sole proprietor
- Yes
- License
- 2-3034 (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
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
Mailing address
Registry dates
- Enumerated
- 2006-09-21
- Last updated
- 2009-03-24
Frequently asked questions
- What is Kelly Shannon's NPI number?
- Kelly Shannon's National Provider Identifier (NPI) is 1699874198, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Kelly Shannon's specialty?
- Kelly Shannon is listed in the NPPES registry with a primary specialty of Clinical Psychologist (Behavioral Health & Social Service Providers).
- Where is Kelly Shannon located?
- Kelly Shannon's practice location on file with NPPES is 102 E Mulberry Ave, San Antonio, TX 78212-2946.
- What is Kelly Shannon's phone number?
- The practice phone number listed in the NPPES registry for Kelly Shannon is (210) 279-1516.
- Does Kelly Shannon accept Medicare?
- Kelly Shannon is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Kelly Shannon's NPI active?
- Yes — Kelly Shannon's NPI (1699874198) is active in the NPPES registry as of the last update on 2009-03-24.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.