Mitsuko P. Shannon
MD | Psychiatry | Child & Adolescent | 37+ years Exp
706 W King St, Kings Mountain
North Carolina, 28086-2708
980-487-5470 Maps & DirectionsMitsuko P. Shannon is a Kings Mountain, North Carolina based psychiatrist with 37 years of experience in Child & Adolescent. She completed her graduation from Jc Edwards School Of Medicine, Marshall University in 1988. She accepts the Medicare-approved amount. Patients will not be billed for any more than the Medicare deductible and coinsurance. Active license number of Mitsuko P. Shannon is 9300804 for Psychiatry in North Carolina. Her current practice location is 706 W King St, Kings Mountain. Patients can reach her at 980-487-5470. Mitsuko P. Shannon is MD in Child & Adolescent and her NPI number (Unique professional ID assigned by NPPES) is 1689694374.
Mitsuko P. Shannon has done additional skills and training in the diagnosis and treatment of developmental, behavioral, emotional, and mental disorders of childhood and adolescence.
Complete Profile:
Mitsuko P. Shannon speciality, credentials, practice address, contact phone number and fax are as below.
Patients can call on the below given phone number for appointment.
| Name: | Mitsuko P. Shannon |
| Specialization: | Child & Adolescent |
| Gender: | Female |
| Credentials: | MD |
| Experience: | 37+ years |
| Medical School Attended: | Jc Edwards School Of Medicine, Marshall University |
| Graduation Year: | 1988 |
| Accepts Medicare Assignment: | Yes |
| Practice Address: | 706 W King St, Kings Mountain,
North Carolina, 28086-2708 |
| Phone: | 980-487-5470 |
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details are as mentioned below.
| PAC ID: | 0446384564 |
| Enrollment ID: | I20100811000654 |
| NPI Number: | 1689694374 |
| NPI Enumeration Date: | 19 Jul, 2006 |
| NPI Last Update On: | 15 Jul, 2024 |
Medical Licenses:
Doctors can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Mitsuko P. Shannon are as mentioned below.
| License Number | Specialization | State | Status | |
| 9300804 | Psychiatry | North Carolina | Primary | |
| 9300804 | Child & Adolescent | North Carolina | Secondary | |
Hospital Affiliation:
Surgeons are affiliated to many hospitals whom they worked with in the past or are presently working with. One surgeon can be affiliated to four to five hospitals at a time.
| Hospital Name (CCN) | State | Hospital Type |
| (340021) | Shelby, NC | Acute Care Hospital |
Group Practice:
Group practices are practice of medicine by a group of physicians who share their premises and other resources. Following list states all the group name
with which Mitsuko P. Shannon is associated with along with the number of members in that group.
| Organization Name (Group PAC ID) | Members |
| Carolinas Medical Center (4789597477) | 731 |
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
| Address: | Mitsuko P. Shannon
Po Box 19305,
Charlotte, North Carolina |
| Zip: | 28219-9305 |
Patients can reach Mitsuko P. Shannon at
706 W King St, Kings Mountain, North Carolina or can
call to book an appointment on 980-487-5470.
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Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 08 December, 2025.