Magon Adams Shirley, PSY.D.
NPI 1518356021ActiveIndividual· Student in an Organized Health Care Education/Training Program· Knoxville, TN
Student in an Organized Health Care Education/Training Program (PSY.D.) with The Northshore Group Inc, practicing in Knoxville, Tennessee. Enrolled in Medicare as practitioner - clinical psychologist.
Overview
| NPI | 1518356021 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | PSY.D. |
| Sole proprietor | No |
| NPI issued | Jan 21, 2015 |
| Last updated in NPPES | Feb 12, 2019 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Student in an Organized Health Care Education/Training Program Primary | 390200000X | — | — |
| Counselor, Mental Health | 101YM0800X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Clinical Psychologist (TN) |
|---|
Education and affiliations
| Graduation year | 2018 |
|---|---|
| Medicare specialty | Clinical Psychologist |
| Telehealth | Offers telehealth |
Medical group
- The Northshore Group IncKnoxville, TN · 15 clinicians
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