Shannon Paul Weisz, PSYD, LAC
NPI 1730254418ActiveIndividual· Psychologist· Bismarck, ND
Psychologist (PSYD, LAC) with Missouri River Health, practicing in Bismarck, North Dakota. Medicare paid $20,745 for services to 20 patients in 2024.
Overview
| NPI | 1730254418 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | PSYD, LAC |
| Sole proprietor | No |
| NPI issued | Nov 21, 2006 |
| Last updated in NPPES | Jul 22, 2014 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Psychologist Primary | 103T00000X | 470 | ND |
| Counselor, Addiction (Substance Use Disorder) | 101YA0400X | 1549 | ND |
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 (ND) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 20 |
|---|---|
| Services billed | 220 across 5 procedure codes |
| Paid by Medicare | $20,745 |
Education and affiliations
| Graduation year | 2011 |
|---|---|
| Medicare specialty | Clinical Psychologist |
| Telehealth | Offers telehealth |
Medical group
- Missouri River HealthBismarck, ND · 4 clinicians
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All 31 psychologists in Bismarck · All psychologists in North Dakota