NPPES file of Aug 9, 2026

Kelly Shannon, PHD

Clinical Psychologist · San Antonio, TX

Kelly Shannon, PHD is a clinical psychologist with a practice address in San Antonio, Texas, and NPI 1699874198, issued on Sep 21, 2006. Check the license (Texas 2-3034, as entered in NPPES) with the Texas board that licenses this profession; the federal record below is the public data PlainDoctor holds for this provider.

Record from CMS NPPES, file of Aug 9, 2026 · method · Verify with CMS →

NPPES recordNPPES file of Aug 9, 2026
1699874198
Name
Kelly Shannon
Credential
PHD
Primary taxonomy
Clinical Psychologist 103TC0700X
License number
2-3034 TX
Self-reported in NPPES; status is on the state search
Practice location
102 E Mulberry Ave, San Antonio, TX 78212
Phone
(210) 279-1516
Enumerated
Sep 21, 2006
Record last updated
Mar 24, 2009 (not updated in 17 years: call before relying on the address or phone)
Fax
(210) 733-0141
Medicaid ID
035931704 TX
Medicare enrollment
Enrolled (PECOS I20040806000528); may accept Medicare assignment
Entity
Type 1 · individual
Public record from CMS NPPES (open it on the CMS NPI Registry). Enrollment, assignment, school and telehealth: CMS Doctors and Clinicians file, Aug 2026. A record is not a license: verify it with the state board.
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Verify Kelly Shannon in five checks

  1. 1IdentityNPI record in CMS NPPESNPI lookupConfirmed in NPPES
  2. 2LicenseActive license and public ordersWhich Texas board licenses this profession
    Search for license 2-3034
    Check the board
  3. 3Other statesLicenses and actions elsewhereDocInfo (FSMB)Not checked
  4. 4ExclusionsMedicare and Medicaid bansHHS-OIG exclusion listNot checked
  5. 5CertificationBoard certificationABMS AOA NCCPA AANPNot checked
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Kelly Shannon among 2,732 clinical psychologist records in Texas

Kelly Shannon, PHD is one of 2,732 clinical psychologist records with a practice address in Texas. 14% of them appear in a Medicare file (Part D prescribing, MIPS, Open Payments or Medicare group billing); this one does not. Its NPI, issued in 2006, is newer than 3% of them.

  • NPI issued2006 · 3% of these records are older, 72% newer
  • In a Medicare fileNo · 14% of these records are
  • In the CMS Doctors and Clinicians fileYes · 22% of these records are
  • Graduated1979 · median 2006 among the 598 with a school on file
  • Record last updated2009 · 62% of these records were not updated in five years or more

Source: CMS NPPES, file of Aug 9, 2026, every record with primary taxonomy 103TC0700X and a Texas practice address; Medicare files: CMS Part D Prescribers 2024, MIPS 2023, Open Payments 2024, Doctors and Clinicians (data.cms.gov).

Clinical Psychologist providers in Texas

There are 2,732 clinical psychologist records in Texas. No Medicare prescribing, quality score, industry payment or hospital affiliation is published for this NPI.

The 8 clinical psychologist records with the nearest ZIP codes

  1. Betty Giles, PHDSan Antonio, TX 782121952337198
  2. Billy James, PH.D.San Antonio, TX 782121972547842
  3. Gail JohnsonSan Antonio, TX 782121891710927
  4. Kristine Johnston, PH.D.San Antonio, TX 782121558422923
  5. Henry LoefflerSan Antonio, TX 782121770525545
  6. John MillermanSan Antonio, TX 782121104840065
  7. Robert O'Maine, PSY.D.San Antonio, TX 782121669403994
  8. Catherine Perz, PH.DSan Antonio, TX 782121073555868

Common questions

What is Kelly Shannon, PHD's NPI number?

Kelly Shannon, PHD's National Provider Identifier (NPI) is 1699874198, issued on Sep 21, 2006. An NPI identifies a provider in billing; it is not a license.

Where is Kelly Shannon, PHD located?

The NPPES record lists a practice address at 102 E Mulberry Ave, San Antonio, TX, 78212. Phone: (210) 279-1516. Providers update this record themselves, so call before visiting.

How can I verify Kelly Shannon, PHD's license?

NPPES lists Texas license number 2-3034, as entered by the provider. Search the Texas board that licenses this profession; the NPPES record confirms identity only.

Source: CMS National Plan and Provider Enumeration System (NPPES), file of Aug 9, 2026 (NPPES files on CMS.gov); NUCC Health Care Provider Taxonomy. An NPI identifies who bills; it is not a license.

Figures on PlainDoctor are read from the federal files each page names (CMS NPPES, Medicare Part D, MIPS, Open Payments; the HHS-OIG exclusion list only as counts) and from Census population estimates, with the file date shown beside them. See our editorial standards & corrections policy, the methodology behind these numbers, or report a data error. Data current as of Aug 9, 2026.