Shannon Jean Maxwell, PSY.D, LP
NPI 1790058089ActiveIndividual· Psychologist, Clinical· Spearfish, SD
Psychologist, Clinical (PSY.D, LP) with Black Hills Psychology LLC, practicing in Spearfish, South Dakota. Medicare paid $20,879 for services to 42 patients in 2024.
Overview
| NPI | 1790058089 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | PSY.D, LP |
| Sole proprietor | No |
| NPI issued | Feb 16, 2012 |
| Last updated in NPPES | Jan 20, 2026 |
| Certified by provider | Jan 20, 2026 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Psychologist, Clinical Primary | 103TC0700X | 530 | SD |
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 (SD) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 42 |
|---|---|
| Services billed | 353 across 10 procedure codes |
| Paid by Medicare | $20,879 |
Education and affiliations
| Graduation year | 2001 |
|---|---|
| Medicare specialty | Clinical Psychologist |
Medical group
- Black Hills Psychology LLCSpearfish, SD · 10 clinicians
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