NPPES file of Aug 9, 2026

Tim Shannon, PSYD

Psychologist · Normal, IL

Tim Shannon, PSYD is a psychologist with a practice address in Normal, Illinois, and NPI 1407956758, issued on Sep 25, 2006. Check the license (Illinois 071004783, as entered in NPPES) with the Illinois 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
1407956758
Name
Tim Shannon
Credential
PSYD
Primary taxonomy
Psychologist 103T00000X
License number
071004783 IL
Self-reported in NPPES; status is on the state search
Practice location
405 Kays Dr Ste C, Normal, IL 61761
Phone
(309) 664-3130
Enumerated
Sep 25, 2006
Record last updated
May 9, 2011 (not updated in 15 years: call before relying on the address or phone)
Fax
(309) 664-3528
Medicare enrollment
Enrolled (PECOS I20100318000254); accepts Medicare assignment
Telehealth
Offers telehealth (CMS)
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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8 nearest psychologist records → All 1,011 in Illinois → Look up another NPI →

Also registered at 405 Kays Dr Ste C

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

  1. Rebecca BeucherClinical Social Worker1184503997
  2. Jennifer Bovee, LCSW, CRADCMental Health Counselor1558596833
  3. Cheri Carroll, L.C.S.W.Clinical Social Worker1083747356
  4. Christopher Cashen, L.C.P.C.Professional Counselor1013037621
  5. Graceaanne DoddSocial Worker1841173283
  6. Jillian EstesClinical Social Worker1568198562

Verify Tim Shannon in five checks

  1. 1IdentityNPI record in CMS NPPESNPI lookupConfirmed in NPPES
  2. 2LicenseActive license and public ordersWhich Illinois board licenses this profession
    Search for license 071004783    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 Illinois 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. Osf Multi-Specialty GroupBloomington, IL

Source: CMS Doctors and Clinicians National Downloadable File (the group practices a clinician bills Medicare through) (data.cms.gov).

Tim Shannon among 1,011 psychologist records in Illinois

Tim Shannon, PSYD is one of 1,011 psychologist records with a practice address in Illinois. 11% of them appear in a Medicare file (Part D prescribing, MIPS, Open Payments or Medicare group billing); this one does. Its NPI, issued in 2006, is newer than 3% of them.

  • NPI issued2006 · 3% of these records are older, 75% newer
  • In a Medicare fileYes · 11% of these records are
  • In the CMS Doctors and Clinicians fileYes · 20% of these records are
  • Graduated1991 · median 2001 among the 201 with a school on file
  • Record last updated2011 · 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 103T00000X and a Illinois practice address; Medicare files: CMS Part D Prescribers 2024, MIPS 2023, Open Payments 2024, Doctors and Clinicians (data.cms.gov).

Psychologist providers in Illinois

There are 1,011 psychologist records in Illinois.

All 1,011 in Illinois → Every provider in Normal → Psychologist nationwide →

The 8 psychologist records with the nearest ZIP codes

  1. Paul JoffeUrbana, IL 618011346786340
  2. Teresa Mok, PH.D.Urbana, IL 618011730398603
  3. Mary Russell, PH.D.Urbana, IL 618011922472927
  4. Pamela Warren, PHDUrbana, IL 618011265534333
  5. Amy Cohen, PH.D.Urbana, IL 618021275946592
  6. Holly Mirell, PHDChampaign, IL 618021043224926
  7. Kerrie Armstrong, PH.D.Bloomington, IL 617041487093092
  8. Heather O'Brien, PSYD, HSPPBloomington, IL 617041184067191

Common questions

What is Tim Shannon, PSYD's NPI number?

Tim Shannon, PSYD's National Provider Identifier (NPI) is 1407956758, issued on Sep 25, 2006. An NPI identifies a provider in billing; it is not a license.

Where is Tim Shannon, PSYD located?

The NPPES record lists a practice address at 405 Kays Dr Ste C, Normal, IL, 61761. Phone: (309) 664-3130. Providers update this record themselves, so call before visiting.

How can I verify Tim Shannon, PSYD's license?

NPPES lists Illinois license number 071004783, as entered by the provider. Search the Illinois 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.

Written with AI tools from the named public files; every figure is computed from those files (how it is made).

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.