Kelly Shannon is a San Antonio, Texas based psychologist with 45 years of experience in Clinical Psychology. He completed his graduation in 1979. He may accept the Medicare-approved amount. Patients may be billed for more than the Medicare deductible and coinsurance. Active license number of Kelly Shannon is 2-3034 for Clinical Psychology in Texas. His current practice location is 102 E Mulberry Ave, San Antonio. Patients can reach him at 210-279-1516 or can fax him at 210-733-0141. Kelly Shannon is PHD in Clinical Psychology and his NPI number (Unique professional ID assigned by NPPES) is 1699874198. Kelly Shannon is a mental health professional with highly specialized training in the diagnosis and psychological treatment of mental, behavioral and emotional illnesses, including obsessive-compulsive disorder (OCD). His main focus is on diagnosing and treating mental, emotional, and behavioral disorders. Some of the common disorders that he can treat are learning disabilities, substance abuse, depression, anxiety, and eating disorders.
Complete Profile:
Kelly 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:
Kelly Shannon
Specialization:
Clinical Psychology
Gender:
Male
Credentials:
PHD
Accepts Medicare Assignment:
May Accept
Practice Address:
102 E Mulberry Ave, San Antonio, Texas, 78212-2946
Phone:
210-279-1516
Fax:
210-733-0141
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:
9335111806
Enrollment ID:
I20040806000528
NPI Number:
1699874198
NPI Enumeration Date:
21 Sep, 2006
NPI Last Update On:
24 Mar, 2009
Medical Licenses:
Doctors can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Kelly Shannon are as mentioned below.
License Number
Specialization
State
Status
2-3034
Clinical Psychology
Texas
Primary
Other Medical Identifiers:
Other legacy medical identifiers associated with Kelly Shannon such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
Identifier
Type
State
Issuer
H00088RY01
Other
Texas
BCBS - TX
035931704
Medicaid
Texas
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
Address:
Kelly Shannon Po Box 120041, San Antonio, Texas
Zip:
78212-9241
Phone Number:
210-279-1516
Fax Number:
210-733-0141
Patients can reach Kelly Shannon at 102 E Mulberry Ave, San Antonio, Texas or can call to book an appointment on 210-279-1516.
Comments/ Reviews:
*Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 11 November, 2024.