TAYLOR MARIE SHANK (PH.D.) – Mental Health Counselor, NPI 1013442490
Mental Health Counselor
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
1,669 CLINICAL PSYCHOLOGIST in PA
Provider Addresses for TAYLOR MARIE SHANK (PH.D.)
765 Liberty St Ste 202
Meadville, PA 163352568
Phone: (814) 333-5888
Fax: (814) 333-5887
Type: Location
Creighton Hall, 222, Southeast 8th Avenue, Central Hillsboro, Hillsboro, Metro, Washington County, Oregon, 97123, United States
SUITE 212
HILLSBORO, OR 971234218
Phone: (503) 352-7333
Type: Mailing
1034 GROVE ST
MEADVILLE, PA 163352945
Phone: (814) 333-5061
Type: Mailing
18201 CONNEAUT LAKE RD
MEADVILLE, PA 163353757
Phone: (814) 333-5061
Fax: (814) 333-5067
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: 2025-03-31
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20250331001162 | I | Clinical Psychologist | PA | TBD |
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.
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 16335)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Clinical Psychologist | PA | |
| Nurse Practitioner | PA | |
| Family Practice | PA | |
| D E R M A T O L O G Y | PA | |
| Diagnostic Radiology | PA | |
| Medical Oncology, Hematology, Internal Medicine | PA | |
| H E M A T O L O G Y | PA | |
| Nurse Practitioner | PA | |
| Clinical Social Worker | PA | |
| Hospitalist, Internal Medicine | NY |
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