Shannen Anderson, PSY.D.
NPI 1548872740ActiveIndividual· Psychologist, Clinical· Fall River, MA
Psychologist, Clinical (PSY.D.) in Fall River, Massachusetts, licensed in VA, with an NPI issued in August 2020. Enrolled in Medicare as practitioner - clinical psychologist.
Overview
| NPI | 1548872740 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | PSY.D. |
| Sole proprietor | No |
| NPI issued | Aug 19, 2020 |
| Last updated in NPPES | Dec 10, 2024 |
| Certified by provider | Dec 10, 2024 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Psychologist, Clinical Primary | 103TC0700X | 0810008539 | VA |
| Counselor | 101Y00000X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Clinical Psychologist (DC) |
|---|
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