Shannon Ivy Harris, PSYD
Cognitive & Behavioral Psychologist · Indianapolis, IN
Shannon Ivy Harris, PSYD is a cognitive & behavioral psychologist with a practice address in Indianapolis, Indiana, and NPI 1689492175, issued on Oct 2, 2024. Check the license (Indiana 20043698A, as entered in NPPES) with the Indiana board that licenses this profession; the Medicare figures below come from public CMS files.
- Name
- Shannon Ivy Harris
- Credential
- PSYD
- Primary taxonomy
- Cognitive & Behavioral Psychologist 103TB0200X
- License numbers
- 20043698A IN
20043698B IN
Self-reported in NPPES; status is on the state search - Practice location
- 355 W 16TH St, Indianapolis, IN 46202
- Phone
- (317) 963-7204
- Enumerated
- Oct 2, 2024
- Record last updated
- Feb 11, 2025
- Fax
- (317) 963-7211
- Medicaid ID
- 300098450 IN
- Medicare enrollment
- Enrolled (PECOS I20241031002384); accepts Medicare assignment
- Entity
- Type 1 · individual
8 nearest cognitive & behavioral psychologist records → All 21 in Indiana → Look up another NPI →
Also registered at 355 W 16TH St
A shared address usually means a shared clinic or building; it does not show who employs whom.
- Maurissa AbecassisMental Health Counselor1467996132
- Kazeerat Adedokun, MDStudent in an Organized Health Care Education/Training Program1962107235
- Amy Anderson, NPAcute Care Nurse Practitioner1750545109
- Peggy Barnes, LCSWSocial Worker1003863085
- Sarah BaumanStudent in an Organized Health Care Education/Training Program1679980080
- Cheryl Bedwell, RNRegistered Nurse1912259359
Verify Shannon Ivy Harris in five checks
- 1IdentityNPI record in CMS NPPESNPI lookupConfirmed in NPPES
- 2LicenseActive license and public ordersWhich Indiana board licenses this profession
Search for license 20043698ACheck the board - 3Other statesLicenses and actions elsewhereDocInfo (FSMB)Not checked
- 4ExclusionsMedicare and Medicaid bansHHS-OIG exclusion listNot checked
- 5CertificationBoard certificationABMS AOA NCCPA AANPNot checked
Bills Medicare through one group practice
- IU Health Medical Group LLCIndianapolis, IN
Source: CMS Doctors and Clinicians National Downloadable File (the group practices a clinician bills Medicare through) (data.cms.gov).
Shannon Ivy Harris among 21 cognitive & behavioral psychologist records in Indiana
Shannon Ivy Harris, PSYD is one of 21 cognitive & behavioral psychologist records with a practice address in Indiana. 14% of them appear in a Medicare file (Part D prescribing, MIPS, Open Payments or Medicare group billing); this one does. Its NPI, issued in 2024, is newer than 81% of them.
- NPI issued2024 · 81% of these records are older, 10% newer
- In a Medicare fileYes · 14% of these records are
- In the CMS Doctors and Clinicians fileYes · 14% of these records are
- Record last updated2025 · 33% of these records were not updated in five years or more
Source: CMS NPPES, file of Aug 9, 2026, every record with primary taxonomy 103TB0200X and a Indiana practice address; Medicare files: CMS Part D Prescribers 2024, MIPS 2023, Open Payments 2024, Doctors and Clinicians (data.cms.gov).
Cognitive & Behavioral Psychologist providers in Indiana
There are 21 cognitive & behavioral psychologist records in Indiana.
All 21 in Indiana → Every provider in Indianapolis → Cognitive & Behavioral Psychologist nationwide →
The 8 cognitive & behavioral psychologist records with the nearest ZIP codes
- Amanda Broderick, PHDIndianapolis, IN 462021720752553
- Kathleen Kingery, PHDIndianapolis, IN 462021629593629
- Mary Milder, PHDIndianapolis, IN 462021407520356
- Tamika Harvey, MDIndianapolis, IN 462031871445478
- Dallas Mulvaney, PHD, HSPPIndianapolis, IN 462051396767976
- Debra Taylor, PH.D.Indianapolis, IN 462261366039463
- Ronald Westrate, PH.D.Indianapolis, IN 462271083644546
- Jung Hwa Kang, PSYDIndianapolis, IN 462541598593188
Common questions
What is Shannon Ivy Harris, PSYD's NPI number?
Shannon Ivy Harris, PSYD's National Provider Identifier (NPI) is 1689492175, issued on Oct 2, 2024. An NPI identifies a provider in billing; it is not a license.
Where is Shannon Ivy Harris, PSYD located?
The NPPES record lists a practice address at 355 W 16TH St, Indianapolis, IN, 46202. Phone: (317) 963-7204. Providers update this record themselves, so call before visiting.
How can I verify Shannon Ivy Harris, PSYD's license?
NPPES lists Indiana license number 20043698A, as entered by the provider. Search the Indiana 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. Medicare files from data.cms.gov. 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.