DR. JOSEPH W SHANNON (PHD) – Psychologist, NPI 1891797452

DR. JOSEPH W SHANNON (PHD) is a healthcare provider. based in Columbus, Ohio. specializing in CLINICAL PSYCHOLOGIST. They hold the professional credentials PHD. They hold a License No. 3402 (OH). The NPI Number for DR. JOSEPH W SHANNON (PHD) is 1891797452

Main info

Male
Sole Proprietor
44 Years Of Experience
Accepts Medicare Assignment
Name
DR. JOSEPH W SHANNON (PHD)
NPI
1891797452
Phone
(614) 297-0422
Address
1155 W 3RD AVE
Enumeration Date
12 August 2005
Last Update Date
9 October 2012

Doctor Profile

Medical School Name
OTHER
Secondary Phone
-
Graduation Year
1982 (44 years ago)
PAC ID
5294802161
Professional Enrollment ID
I20080918000005
Address ID
OH432123043CO1155XAVEX400
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience54
Completeness75
Years active:20State licenses:1Digital endpointsOther names

1,139 CLINICAL PSYCHOLOGIST in OH

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Provider Addresses for DR. JOSEPH W SHANNON (PHD)

  • 1155, West Third Avenue, Fifth by Northwest, Columbus, Franklin, Ohio, 43212, United States

    COLUMBUS, OH 432123043

    Phone: (614) 297-0422

    Fax: (614) 297-1050

    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.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2008-09-18

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
I20080918000005IClinical PsychologistOHTBD

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.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
90837Psychotherapy, 1 hour28826$0
View full utilization report →

Insurance plans in this area (ZIP 43212)

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Reviews

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Frequently asked questions

Is DR. JOSEPH W SHANNON (PHD) listed with a National Provider Identifier?
Yes — DR. JOSEPH W SHANNON (PHD) has NPI 1891797452 on file in the registry.
Is there an active status for DR. JOSEPH W SHANNON (PHD)?
For scheduling context, DR. JOSEPH W SHANNON (PHD) is shown as active in the registry.
How would a patient describe DR. JOSEPH W SHANNON (PHD)'s focus?
For DR. JOSEPH W SHANNON (PHD), the primary taxonomy reads as Psychologist. Clinical services aligned with this taxonomy classification.
What practice footprint exists for DR. JOSEPH W SHANNON (PHD)?
Travel planning: use Columbus, Ohio as the reference point for DR. JOSEPH W SHANNON (PHD), then confirm.
Does inactive status remove historical data?
Historical rows can remain visible after status changes — read the dates carefully.

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