NPPES file of Aug 9, 2026

Shannon Jackson, PSY.D.

Clinical Psychologist · Manchester, CT

Shannon Jackson, PSY.D. is a clinical psychologist with a practice address in Manchester, Connecticut, and NPI 1417281064, issued on Sep 30, 2009. Check the license (Connecticut 00297, as entered in NPPES) with the Connecticut 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
1417281064
Name
Shannon Jackson
Credential
PSY.D.
Primary taxonomy
Clinical Psychologist 103TC0700X
License number
00297 CT
Self-reported in NPPES; status is on the state search
Practice location
150 North Main St, Manchester, CT 06040
Phone
(860) 647-6832
Enumerated
Sep 30, 2009
Record last updated
Sep 30, 2009 (not updated in 17 years: call before relying on the address or phone)
Fax
(860) 647-6831
Entity
Type 1 · individual
Public record from CMS NPPES (open it on the CMS NPI Registry). A record is not a license: verify it with the state board.
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Verify Shannon Jackson in five checks

  1. 1IdentityNPI record in CMS NPPESNPI lookupConfirmed in NPPES
  2. 2LicenseActive license and public ordersWhich Connecticut board licenses this profession
    Search for license 00297
    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 Connecticut license search

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Shannon Jackson among 1,114 clinical psychologist records in Connecticut

Shannon Jackson, PSY.D. is one of 1,114 clinical psychologist records with a practice address in Connecticut. 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 2009, is newer than 52% of them.

  • NPI issued2009 · 52% of these records are older, 44% newer
  • In a Medicare fileNo · 14% of these records are
  • In the CMS Doctors and Clinicians fileNo · 26% of these records are
  • Record last updated2009 · 72% 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 Connecticut practice address; Medicare files: CMS Part D Prescribers 2024, MIPS 2023, Open Payments 2024, Doctors and Clinicians (data.cms.gov).

Clinical Psychologist providers in Connecticut

There are 1,114 clinical psychologist records in Connecticut. 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. Anne Patti, PHDManchester, CT 060401184168981
  2. Eneida Silva, PHDManchester, CT 060401477800837
  3. Steven Bonanno, PSY.D.Manchester, CT 060421093907917
  4. Kevin Conter, PHDManchester, CT 060421851475420
  5. Robert Dell, PSYDManchester, CT 060421366526923
  6. Jennifer EspinozaManchester, CT 060421710363874
  7. John Mariani, PSY.D.Manchester, CT 060421003243866
  8. David Moyer, PHDManchester, CT 060421609950286

Common questions

What is Shannon Jackson, PSY.D.'s NPI number?

Shannon Jackson, PSY.D.'s National Provider Identifier (NPI) is 1417281064, issued on Sep 30, 2009. An NPI identifies a provider in billing; it is not a license.

Where is Shannon Jackson, PSY.D. located?

The NPPES record lists a practice address at 150 North Main St, Manchester, CT, 06040. Phone: (860) 647-6832. Providers update this record themselves, so call before visiting.

How can I verify Shannon Jackson, PSY.D.'s license?

NPPES lists Connecticut license number 00297, as entered by the provider. Search the Connecticut 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.