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Shannon Ehlke, PSYD, LP

NPI 1740906049ActiveIndividual· Psychologist· Anoka, MN

Psychologist (PSYD, LP) with Allina Health System, practicing in Anoka, Minnesota. Enrolled in Medicare as practitioner - clinical psychologist. Lists Allina United Hospital as a hospital affiliation.

Overview

NPI1740906049
StatusActive
Entity typeIndividual
CredentialPSYD, LP
Sole proprietorYes
NPI issuedOct 18, 2022
Last updated in NPPESMay 16, 2025
Certified by providerMay 16, 2025

Specialties and licenses

TaxonomyCodeLicenseState
Psychologist Primary103T00000XLP6820MN
Psychologist, Clinical103TC0700XLP6820MN

About license numbers in NPPES

Exclusion screening

ListResultDetails
HHS-OIG LEIE · Oct 9, 2026No matchChecked by NPI and by name + state
North Carolina Medicaid · Nov 10, 2026No match—
New York OMIG · Nov 10, 2026No match—
Ohio Medicaid · Nov 10, 2026No match—
Pennsylvania Medicheck · Nov 10, 2026No match—
Washington HCA · Nov 10, 2026No match—

Official OIG search · How matching works ·Bulk check a roster

Medicare

Enrollment (PECOS)Enrolled Practitioner - Clinical Psychologist (MN)

Medicare sources and data years

Education and affiliations

Graduation year2021
Medicare specialtyClinical Psychologist

Medical group

Hospital affiliation

Source: CMS Care Compare

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