PATRICIA JEAN SHANNON PHD, LP
NPI 1053419796
Psychologist in Minneapolis, MN

Active since September 20, 2006
3133 HENNEPIN AVE, MINNEAPOLIS, MN 55408(612) 834-7780(612) 624-3744 Get Directions Write a Review

NPPES record last updated: September 29, 2015. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Patricia Jean Shannon Phd, Lp NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

PATRICIA JEAN SHANNON PHD, LP (NPI 1053419796) is an individual psychologist in Minneapolis, Minnesota, licensed in Minnesota (4075) and active in the NPI registry since September 2006.

NPPES Registry Identity

NPI1053419796
Entity TypeIndividualFemale
Primary Taxonomy103T00000X
Provider Legal NamePATRICIA JEAN SHANNONCredential: PHD, LP
Location Address3133 HENNEPIN AVEMinneapolis, MN 55408-2620
Mailing Address3108 Hennepin AveMinneapolis, MN 55408-2619 · (612) 825-4407 · Fax (612) 825-0768
Fax(612) 624-3744
Sole ProprietorNo
Enumeration DateSeptember 20, 2006
Last NPPES UpdateSeptember 29, 2015
NPI 1053419796 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPsychologistBehavioral Health & Social Service Providers
Taxonomy Code103T00000X
License Licensed in MN · 4075
Definition
A psychologist is an individual who is licensed to practice psychology which is defined as the observation, description, evaluation, interpretation, and modification of human behavior by the application of psychological principles, methods, and procedures, for the purpose of preventing or eliminating symptomatic, maladaptive, or undesired behavior and of enhancing interpersonal relationships, work and life adjustment, personal effectiveness, behavioral health, and mental health. The practice of psychology includes, but is not limited to, psychological testing and the evaluation or assessment of personal characteristics, such as intelligence, personality, abilities, interests, aptitudes, and neuropsychological functioning; counseling, psychoanalysis, psychotherapy, hypnosis, biofeedback, and behavior analysis and therapy; diagnosis and treatment of mental and emotional disorder or disability, alcoholism and substance abuse, disorders of habit or conduct, as well as of the psychological aspects of physical illness, accident, injury, or disability; and psycheducational evaluation, therapy, remediation, and consultation. Psychological services may be rendered to individuals, families, groups and the public.
3133 HENNEPIN AVE, Minneapolis, MN 55408

Other Identifiers 2

Medicare ID-Type Unspecified680001877
Medicaid921813100MN

Other Providers at the Same Location NPPES 12

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Psychologist (Clinical)
3133 HENNEPIN AVE
MINNEAPOLIS, MN 55408
Counselor (Mental Health)
3133 HENNEPIN AVE
MINNEAPOLIS, MN 55408
Psychologist (Clinical)
3133 HENNEPIN AVE
MINNEAPOLIS, MN 55408
Social Worker (Clinical)
3133 HENNEPIN AVE
MINNEAPOLIS, MN 55408
Counselor (Professional)
3133 HENNEPIN AVE
MINNEAPOLIS, MN 55408
Social Worker (Clinical)
3133 HENNEPIN AVE, SUITE TWO
MINNEAPOLIS, MN 55408
Marriage & Family Therapist
3133 HENNEPIN AVE
MINNEAPOLIS, MN 55408
Counselor (Mental Health)
3133 HENNEPIN AVE
MINNEAPOLIS, MN 55408

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Patricia Shannon's NPI number?

The NPI number for Patricia Shannon is 1053419796. It was assigned to this individual provider in the NPPES registry on September 20, 2006.

Where is Patricia Shannon located?

Patricia Shannon practices at 3133 Hennepin Ave, Minneapolis, MN 55408. The listed phone number is (612) 834-7780.

What is Patricia Shannon's specialty?

The primary specialty registered for this NPI is Psychologist with taxonomy code 103T00000X.

When was this NPI record last updated?

The NPPES record for Patricia Shannon was last updated on September 29, 2015. NPI Profile syncs with the weekly NPPES data releases published by CMS.