DR. SHANNON MARIE ALLEGRETTI (PSY.D.) – Clinical Psychologist, NPI 1407989080

DR. SHANNON MARIE ALLEGRETTI (PSY.D.) is a healthcare provider. based in Riverside, Illinois. specializing in CLINICAL PSYCHOLOGIST. They hold the professional credentials PSY.D.. They hold a License No. 071005853 (IL). The NPI Number for DR. SHANNON MARIE ALLEGRETTI (PSY.D.) is 1407989080

Main info

Female
29 Years Of Experience
Accepts Medicare Assignment
Name
DR. SHANNON MARIE ALLEGRETTI (PSY.D.)
NPI
1407989080
Phone
(708) 447-3977
Address
320 GAGE RD
Enumeration Date
13 March 2007
Last Update Date
23 February 2026

Doctor Profile

Medical School Name
OTHER
Secondary Phone
6308932210
Graduation Year
1997 (29 years ago)
PAC ID
9335547314
Group Practice PAC ID
5496667941
Professional Enrollment ID
I20211005002228
Address ID
IL601082201BL30XXXDRXX300
Telehealth
Yes
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience72
Completeness85
Years active:19State licenses:1Digital endpointsOther names

1,600 CLINICAL PSYCHOLOGIST in IL

Provider Addresses for DR. SHANNON MARIE ALLEGRETTI (PSY.D.)

  • 320 GAGE RD

    RIVERSIDE, IL 605462316

    Phone: (708) 447-3977

    Type: Mailing

  • 2625 BUTTERFIELD RD

    SUITE 138 S.

    OAK BROOK, IL 605231234

    Phone: (630) 472-0911

    Type: Location

  • PO BOX 713260

    CHICAGO, IL 606771260

    Phone: (630) 469-9200

    Type: Mailing

  • 640 S WASHINGTON ST

    NAPERVILLE, IL 605406603

    Phone: (815) 942-6323

    Fax: (815) 942-6323

    Type: Location

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.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2021-10-05

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20211005002228IClinical PsychologistILTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

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 60546)

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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: 5496667941View full group profile
NameSpecialtyState
E N D O C R I N O L O G YIL
Physician AssistantIL
Internal MedicineIL
Nurse PractitionerIL
-IL
-IL
-IL
-IL
-IL
Physical Therapist In Private PracticeIL

Reviews

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Frequently asked questions

Can I verify DR. SHANNON MARIE ALLEGRETTI (PSY.D.) with an NPI only?
You can start verification with NPI 1407989080 for DR. SHANNON MARIE ALLEGRETTI (PSY.D.), then check state licensing separately.
Can I rely on DR. SHANNON MARIE ALLEGRETTI (PSY.D.) being an active provider?
As of the registry snapshot, DR. SHANNON MARIE ALLEGRETTI (PSY.D.) is marked active.
What healthcare role does DR. SHANNON MARIE ALLEGRETTI (PSY.D.) hold?
Scheduling teams often label DR. SHANNON MARIE ALLEGRETTI (PSY.D.) under Clinical Psychologist. Clinical services aligned with this taxonomy classification.
What address line appears for DR. SHANNON MARIE ALLEGRETTI (PSY.D.)?
DR. SHANNON MARIE ALLEGRETTI (PSY.D.)'s geographic hint is Riverside, Illinois in our summary view.
Why does DR. SHANNON MARIE ALLEGRETTI (PSY.D.) have multiple addresses?
4 practice locations appear in the available data. Multiple addresses are common for hospital privileges, telehealth, or multi-site groups.

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