DR. SHANNON DRABEK (PSY.D.) – Clinical Psychologist, NPI 1023673688

DR. SHANNON DRABEK (PSY.D.) is a healthcare provider. based in Grand rapids, Michigan. specializing in CLINICAL PSYCHOLOGIST. They hold the professional credentials PSY.D.. They hold a License No. 6301018911 (MI). The NPI Number for DR. SHANNON DRABEK (PSY.D.) is 1023673688

Main info

Female
Sole Proprietor
9 Years Of Experience
Accepts Medicare Assignment
Name
DR. SHANNON DRABEK (PSY.D.)
NPI
1023673688
Phone
(616) 455-5000
Address
300 68TH ST SE
Enumeration Date
8 May 2019
Last Update Date
21 January 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
6164555000
Graduation Year
2017 (9 years ago)
PAC ID
2567867435
Group Practice PAC ID
4981506508
Professional Enrollment ID
I20210817000246
Address ID
MI495486927GR300XXSEXX400

Contacts

Secure Messaging
PineRestCMHS@directaddress.pinerest.org
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience43
Completeness85
Years active:7State licenses:1Other namesUpdated within 12 months

1,216 CLINICAL PSYCHOLOGIST in MI

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Provider Addresses for DR. SHANNON DRABEK (PSY.D.)

  • Pine Rest Christian Mental Health Services, 300, 68th Street Southeast, Grand Rapids, Gaines Township, Kent County, Michigan, 49501, United States

    GRAND RAPIDS, MI 495486927

    Phone: (616) 455-5000

    Type: Location

  • 300 68th St SE

    Grand Rapids, MI 495486927

    Phone: (616) 455-5000

    Type: Location

  • 6500 BYRON CENTER AVE SW

    BYRON CENTER, MI 493159080

    Phone: (162) 816-3116

    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: 2021-08-17

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
I20210817000246IClinical PsychologistMITBD

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 49548)

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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: 4981506508View full group profile
NameSpecialtyState
Clinical Social WorkerMI
Clinical Social WorkerIA
P S Y C H I A T R YMI
-MI
Mental Health CounselorMI
Clinical Social WorkerNY
Clinical Social WorkerMI
Clinical PsychologistMI
Clinical Social WorkerMI
-MI

Reviews

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Frequently asked questions

Can I use this page to confirm DR. SHANNON DRABEK (PSY.D.)'s NPI?
Yes. DR. SHANNON DRABEK (PSY.D.) is listed with NPI 1023673688 in the public NPI dataset.
Is DR. SHANNON DRABEK (PSY.D.) listed as active for patients and plans?
The listing shows DR. SHANNON DRABEK (PSY.D.) as active in the NPI system.
What healthcare role does DR. SHANNON DRABEK (PSY.D.) hold?
Scheduling teams often label DR. SHANNON DRABEK (PSY.D.) under Clinical Psychologist. Clinical services aligned with this taxonomy classification.
What address line appears for DR. SHANNON DRABEK (PSY.D.)?
DR. SHANNON DRABEK (PSY.D.)'s geographic hint is Grand Rapids, Michigan in our summary view.
How many locations tie to this NPI?
4 practice locations appear in the available data.

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