SHANNON MICHELE DALEIDEN, (PHD) – Clinical Psychologist, NPI 1629264338

SHANNON MICHELE DALEIDEN, (PHD) is a healthcare provider. based in Satellite beach, Florida. specializing in Clinical Psychologist. They hold the professional credentials PHD. They hold a License No. 885 (OK). The NPI Number for SHANNON MICHELE DALEIDEN, (PHD) is 1629264338

Main info

Female
29 Years Of Experience
Accepts Medicare Assignment
Name
SHANNON MICHELE DALEIDEN, (PHD)
NPI
1629264338
Phone
(808) 781-4750
Address
665 GRANT CT
Enumeration Date
18 September 2007
Last Update Date
18 August 2015

Doctor Profile

Medical School Name
OTHER
Secondary Phone
3217511925
Graduation Year
1997 (29 years ago)
PAC ID
4981913910
Group Practice PAC ID
9638078025
Professional Enrollment ID
I20151014001486
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience64
Completeness75
Years active:18State licenses:2Digital endpointsOther names

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Provider Addresses for SHANNON MICHELE DALEIDEN, (PHD)

  • 665, Grant Court, Satellite Beach, Brevard County, Florida, 32937, United States

    SATELLITE BEACH, FL 329373945

    Phone: (808) 781-4750

    Fax: (321) 426-9054

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

No Medicare enrollment or revalidation data available for this provider in our database.

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Medicare Utilization (FFS)

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Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 32937)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 9638078025View full group profile
NameSpecialtyState
Clinical PsychologistFL
Nurse PractitionerFL
Clinical PsychologistFL
Clinical PsychologistFL
P S Y C H I A T R YFL
Mental Health CounselorFL
Clinical PsychologistFL
-FL

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Frequently asked questions

Is SHANNON MICHELE DALEIDEN, (PHD) listed with a National Provider Identifier?
Yes — SHANNON MICHELE DALEIDEN, (PHD) has NPI 1629264338 on file in the registry.
Active or inactive — what applies to SHANNON MICHELE DALEIDEN, (PHD)?
You should see SHANNON MICHELE DALEIDEN, (PHD) as active in CMS-hosted NPPES data.
What clinical focus is listed for SHANNON MICHELE DALEIDEN, (PHD)?
At a glance, SHANNON MICHELE DALEIDEN, (PHD) is tied to Clinical Psychologist. Clinical services aligned with this taxonomy classification.
Is SHANNON MICHELE DALEIDEN, (PHD) associated with Satellite Beach?
Public fields place SHANNON MICHELE DALEIDEN, (PHD) around Satellite Beach, Florida. Always confirm the exact site before visiting.
Can I trust this NPI listing for SHANNON MICHELE DALEIDEN, (PHD)?
The listing is sourced from the national NPI registry. If something looks off, compare with NPPES and the clinic's website.

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