DR. SHANNON LEAH CLARK PHD
NPI 1225750565
Psychologist - Clinical Child & Adolescent in Dallas, TX

Q: What is Shannon Clark's NPI number?

The NPI number for Shannon Clark is 1225750565. It was assigned to this individual provider in the NPPES registry on September 14, 2022.

Q: What is Shannon Clark's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Clinical Child & Adolescent, with taxonomy code 103TC2200X.

Q: When was this NPI record last updated?

The NPPES record for Shannon Clark was last updated on September 14, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since September 14, 2022PECOS Enrolled

1935 MEDICAL DISTRICT DR, DALLAS, TX 75235(214) 456-7000 Get Directions Write a Review

NPPES record last updated: September 14, 2022. Verified against the NPPES registry weekly; last sync: August 16, 2026.

On this page

About Dr. Shannon Leah Clark Phd NPPES

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

DR. SHANNON LEAH CLARK PHD (NPI 1225750565) is an individual clinical child & adolescent provider in Dallas, Texas, licensed in Texas (39324) and active in the NPI registry since September 2022. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1225750565

Entity TypeIndividualFemale

Primary Taxonomy103TC2200X

Provider Legal NameDR. SHANNON LEAH CLARKCredential: PHD

Location Address1935 MEDICAL DISTRICT DRDallas, TX 75235-7701

Mailing Address1935 Medical District DrDallas, TX 75235-7701 · (214) 456-7000

Phone(214) 456-7000

Sole ProprietorNo

Enumeration DateSeptember 14, 2022

NPPES CertifiedSeptember 14, 2022

✔ NPI 1225750565 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychologist · Clinical Child & AdolescentBehavioral Health & Social Service Providers

Taxonomy Code103TC2200X

License✔ Licensed in TX · 39324

Definition

A psychologist who develops and applies scientific knowledge to the delivery of psychological services to infants, toddlers, children and adolescents within their social context. Of particular importance to the specialty of clinical child psychology is an understanding of the basic psychological needs of children and adolescents, and how the family and other social contexts influence the socio-emotional adjustment, cognitive development, behavioral adaptation and health status of children and adolescents.

1935 MEDICAL DISTRICT DR, Dallas, TX 75235

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Moda Health Plan, Inc., Oscar Insurance Company, Providence Health Plan and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Shannon Leah Clark Phd is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES 20

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

TERESA ANNA JONES CPNP-AC

Nurse Practitioner (Pediatrics)

1935 MEDICAL DISTRICT DR
DALLAS, TX 75235

Dallas County (973) 801-0173

CASSIE ANN LAURENCE PA-C

Physician Assistant

1935 MEDICAL DISTRICT DR
DALLAS, TX 75235

Dallas County (214) 456-7000

MICHELE WILLET RYLANDER RN, MSN, CPNP

Nurse Practitioner (Pediatrics)

1935 MEDICAL DISTRICT DR
DALLAS, TX 75235

Dallas County (214) 456-7000

MR. ADAM CHRISTOPHER WENNER CPNP-AC

Nurse Practitioner (Pediatrics, Critical Care)

1935 MEDICAL DISTRICT DR
DALLAS, TX 75235

Dallas County (469) 303-7000

RICHARD DAVID SENTELLE D.M.D./PH.D.

Student in an Organized Health Care Education/Training Program

1935 MEDICAL DISTRICT DR, GRADUATE MEDICAL EDUCATION
DALLAS, TX 75235

Dallas County (214) 456-2735

KELSEY NICOLE BURKHART PA

Physician Assistant

1935 MEDICAL DISTRICT DR
DALLAS, TX 75235

Dallas County (214) 456-7000

RENAE JEAN WHITE MD

Student in an Organized Health Care Education/Training Program

1935 MEDICAL DISTRICT DR
DALLAS, TX 75235

Dallas County (214) 456-2735

VICTORIA LEE CPNP-AC/PC

Nurse Practitioner (Pediatrics)

1935 MEDICAL DISTRICT DR
DALLAS, TX 75235

Dallas County (214) 456-7000

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 Shannon Clark's NPI number?

The NPI number for Shannon Clark is 1225750565. It was assigned to this individual provider in the NPPES registry on September 14, 2022.

Where is Shannon Clark located?

Shannon Clark practices at 1935 Medical District Dr, Dallas, TX 75235. The listed phone number is (214) 456-7000.

What is Shannon Clark's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Clinical Child & Adolescent, with taxonomy code 103TC2200X.

Is Shannon Clark enrolled in Medicare?

Yes. Shannon Clark is registered in the Medicare PECOS enrollment system.

What insurance does Shannon Clark accept?

Health plans from Moda Health Plan, Inc., Oscar Insurance Company, Providence Health Plan and Sendero Health Plans, Local Nonprofit list Shannon Clark as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Shannon Clark was last updated on September 14, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.