Tim Shannon is a Normal, Illinois based psychologist with 33 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:
33+ 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.
Comments/ Reviews:
*Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 11 November, 2024.