Tim Shannon is a Normal, Illinois based psychologist with 34 years of experience in General Psychology. He completed his graduation in 1991. He accepts the Medicare-approved amount. Patients will not be billed for any more than the Medicare deductible and coinsurance. Active license number of Tim Shannon is 071004783 for General Psychology in Illinois. His current practice location is 405 Kays Dr Ste C, Normal. Patients can reach him at 309-664-3130 or can fax him at 309-664-3528. Tim Shannon is PSYD in General Psychology and his NPI number (Unique professional ID assigned by NPPES) is 1407956758.
Tim Shannon is specialized in psychological testing and evaluating or assessing patient's personal characteristics, such as intelligence, personality, abilities, interests, aptitudes, and neuropsychological functioning. Accordingly, he performs counseling, psychoanalysis, psychotherapy, hypnosis, biofeedback, and behavior analysis and therapy. He can diagnose and treat mental and emotional disorder or disability, alcoholism and substance abuse, disorders of habit or conduct, as well as of the psychological aspects of physical illness, accident, injury, or disability by psycheducational evaluation, therapy, remediation, and consultation.
Complete Profile:
Tim 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: | Tim Shannon |
| Specialization: | General Psychology |
| Gender: | Male |
| Credentials: | PSYD |
| Experience: | 34+ years |
| Medical School Attended: | Other |
| Graduation Year: | 1991 |
| Accepts Medicare Assignment: | Yes |
| Practice Address: | 405 Kays Dr Ste C, Normal,
Illinois, 61761-1979 |
| Phone: | 309-664-3130 |
| Fax: | 309-664-3528 |
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: | 3173658945 |
| Enrollment ID: | I20100318000254 |
| NPI Number: | 1407956758 |
| NPI Enumeration Date: | 25 Sep, 2006 |
| NPI Last Update On: | 09 May, 2011 |
Medical Licenses:
Doctors can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Tim Shannon are as mentioned below.
| License Number | Specialization | State | Status | |
| 071004783 | General Psychology | Illinois | Primary | |
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 Tim Shannon is associated with along with the number of members in that group.
| Organization Name (Group PAC ID) | Members |
| Osf Multi-specialty Group (3678889789) | 1494 |
Other Medical Identifiers:
Other legacy medical identifiers associated with Tim Shannon such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
| Identifier | Type | State | Issuer |
| IL2613 | Other | Illinois | MEDICARE GROUP PTAN |
| DP5951 | Other | | RR MEDICARE GROUP |
| P00820811 | Other | | RR MEDICARE INDIVIDUAL |
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
| Address: | Tim Shannon
405 Kays Dr Ste C,
Normal, Illinois |
| Zip: | 61761-1979 |
| Phone Number: | 309-664-3130 |
| Fax Number: | 309-664-3528 |
Patients can reach Tim Shannon at
405 Kays Dr Ste C, Normal, Illinois or can
call to book an appointment on 309-664-3130.
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Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 08 December, 2025.