NPPES file of Aug 9, 2026

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.

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

NPPES recordNPPES file of Aug 9, 2026
1689492175
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
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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Also registered at 355 W 16TH St

A shared address usually means a shared clinic or building; it does not show who employs whom.

  1. Maurissa AbecassisMental Health Counselor1467996132
  2. Kazeerat Adedokun, MDStudent in an Organized Health Care Education/Training Program1962107235
  3. Amy Anderson, NPAcute Care Nurse Practitioner1750545109
  4. Peggy Barnes, LCSWSocial Worker1003863085
  5. Sarah BaumanStudent in an Organized Health Care Education/Training Program1679980080
  6. Cheryl Bedwell, RNRegistered Nurse1912259359

Verify Shannon Ivy Harris in five checks

  1. 1IdentityNPI record in CMS NPPESNPI lookupConfirmed in NPPES
  2. 2LicenseActive license and public ordersWhich Indiana board licenses this profession
    Search for license 20043698A
    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
Find the Indiana license search

PlainDoctor does not match the HHS-OIG exclusion list to individual records: most entries carry no NPI. Search the OIG exclusion list by name.

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Bills Medicare through one group practice

  1. 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.

The 8 cognitive & behavioral psychologist records with the nearest ZIP codes

  1. Amanda Broderick, PHDIndianapolis, IN 462021720752553
  2. Kathleen Kingery, PHDIndianapolis, IN 462021629593629
  3. Mary Milder, PHDIndianapolis, IN 462021407520356
  4. Tamika Harvey, MDIndianapolis, IN 462031871445478
  5. Dallas Mulvaney, PHD, HSPPIndianapolis, IN 462051396767976
  6. Debra Taylor, PH.D.Indianapolis, IN 462261366039463
  7. Ronald Westrate, PH.D.Indianapolis, IN 462271083644546
  8. 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.