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SHANNON A O'CONNOR PSYD
NPI 1235531294
Psychologist - Clinical in Agoura Hills, CA

Active since September 22, 2014PECOS EnrolledAccepts Medicare Assignment
5012 CHESEBRO RD STE 200, AGOURA HILLS, CA 91301(925) 282-1778(415) 296-5299 Get Directions Write a Review

NPPES record last updated: August 6, 2024. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Aug 6, 2024, Aug 10, 2023, Apr 8, 2019 (3 updates tracked since 2019).

About Shannon A O'connor Psyd NPPES

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

SHANNON A O'CONNOR PSYD (NPI 1235531294) is an individual clinical provider in Agoura Hills, California, licensed in California (PSY30171) and active in the NPI registry since September 2014. She is enrolled in Medicare PECOS, maintains a secondary practice location in Pasadena, and is a graduate of Other (2016).

NPPES Registry Identity

NPI1235531294
Entity TypeIndividualFemale
Primary Taxonomy103TC0700X
Provider Legal NameSHANNON A O'CONNORCredential: PSYD
Location Address5012 CHESEBRO RD STE 200Agoura Hills, CA 91301-2287
Mailing Address5012 Chesebro Rd Ste 200Agoura Hills, CA 91301-2287 · (925) 282-1778 · Fax (415) 296-5299
Phone(925) 282-1778
Fax(415) 296-5299
Sole ProprietorNo
Medical School CMSOtherGraduated 2016
Enumeration DateSeptember 22, 2014
Last NPPES UpdateAugust 6, 20243 updates tracked since enumeration
NPPES CertifiedAugust 6, 2024
✔ NPI 1235531294 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychologist · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code103TC0700X
License✔ Licensed in CA · PSY30171
Definition
A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in breadth -- one that is broadly inclusive of severe psychopathology -- and marked by comprehensiveness and integration of knowledge and skill from a broad array of disciplines within and outside of psychology proper. The scope of clinical psychology encompasses all ages, multiple diversities and varied systems.
5012 CHESEBRO RD STE 200, Agoura Hills, CA 91301
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Secondary Practice Location 1

Location 1595 E Colorado Blvd Ste 324Pasadena, CA 91101-2021 · Phone (818) 839-1365 · Fax (626) 385-4871

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Shannon A O'connor Psyd is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID7113260183
PECOS Enrollment IDI20190514001728
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.

Medicare Billing Reassignment

Medicare enrollment records show Shannon O'connor reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Pacific Coast Psychiatric Associates Inc
394 mi
Clinical
7373 N SCOTTSDALE RD STE A199
Scottsdale, AZ 85253
  • Reassigned Medicare billing, California enrollment
  • 766 clinicians in this Medicare group
NPI 1023125465 (702) 805-5360

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 91301 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$187.60 typical visit price
range $62.96 – $187.60
Typical copayment $46.90 (range $15.74 – $46.90)
Most-billed visit code 99205
Established Patient
$109.96 typical visit price
range $20.84 – $153.61
Typical copayment $27.49 (range $5.21 – $38.40)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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.

MIRANDA ALAYNE RICH LMFT
Marriage & Family Therapist
5012 CHESEBRO RD STE 200
AGOURA HILLS, CA 91301
Los Angeles County (925) 282-1778
MR. CHRISTOPHER BEN BARRAMEDA GO PMHNP-BC
Nurse Practitioner (Psychiatric/Mental Health)
5012 CHESEBRO RD STE 200
AGOURA HILLS, CA 91301
Los Angeles County (925) 282-1778
DR. CHRISTOPHER EVERETT LEVY MD
Psychiatry & Neurology (Psychiatry)
5012 CHESEBRO RD STE 200
AGOURA HILLS, CA 91301
Los Angeles County (925) 282-1778
ALEXANDRA MORGAN WUCETICH LMFT
Marriage & Family Therapist
5012 CHESEBRO RD STE 200
AGOURA HILLS, CA 91301
Los Angeles County (925) 282-1778
MRS. ANNELISE GABRIELLE LABRENZ LMFT
Marriage & Family Therapist
5012 CHESEBRO RD STE 200
AGOURA HILLS, CA 91301
Los Angeles County (925) 282-1778
MR. DAVID ALAN BONFANTI II LMFT # 43891
Marriage & Family Therapist
5012 CHESEBRO RD STE 200
AGOURA HILLS, CA 91301
Los Angeles County (818) 274-7677
SARA VAGHAR PMHNP-BC
Nurse Practitioner (Psychiatric/Mental Health)
5012 CHESEBRO RD STE 200
AGOURA HILLS, CA 91301
Los Angeles County (925) 282-1778
JOSEPH ELLIS HOBEL LMFT
Marriage & Family Therapist
5012 CHESEBRO RD STE 200
AGOURA HILLS, CA 91301
Los Angeles County (925) 282-1778

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 O'connor's NPI number?

The NPI number for Shannon O'connor is 1235531294. It was assigned to this individual provider in the NPPES registry on September 22, 2014.

Where is Shannon O'connor located?

Shannon O'connor practices at 5012 Chesebro Rd Ste 200, Agoura Hills, CA 91301. The listed phone number is (925) 282-1778.

What is Shannon O'connor's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Clinical, with taxonomy code 103TC0700X.

Is Shannon O'connor enrolled in Medicare?

Yes. Shannon O'connor is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organization bills Medicare for Shannon O'connor's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Shannon O'connor reassigns Medicare benefits to Pacific Coast Psychiatric Associates Inc (Scottsdale, AZ). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Shannon O'connor's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Shannon O'connor was last updated on August 6, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.