1. Home
  2. Directory
  3. North Carolina
  4. Raleigh
  5. Psychologist
  6. NPI Profile

DR. SHANNON V ERKLIN PH.D.
NPI 1265710446
Psychologist - Clinical Child & Adolescent in Raleigh, NC

Active since July 22, 2011Opted out of Medicare · through Oct 18, 2026
211 E SIX FORKS RD, STE 114, RALEIGH, NC 27609(919) 263-4177 Get Directions Write a Review

NPPES record last updated: December 29, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Dec 29, 2022, Apr 28, 2021 (2 updates tracked since 2021).

About Dr. Shannon V Erklin Ph.d. NPPES

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

DR. SHANNON V ERKLIN PH.D. (NPI 1265710446) is an individual clinical child & adolescent provider in Raleigh, North Carolina, licensed in North Carolina (5431) and active in the NPI registry since July 2011. She has opted out of Medicare through October 18, 2026 and remains eligible to order and refer.

NPPES Registry Identity

NPI1265710446
Entity TypeIndividualFemale
Primary Taxonomy103TC2200X
Provider Legal NameDR. SHANNON V ERKLINCredential: PH.D.
Location Address211 E SIX FORKS RD, STE 114Raleigh, NC 27609-7753
Mailing Address118 Bergeron WayCary, NC 27519-6669 · (919) 263-4177
Phone(919) 263-4177
Sole ProprietorYes
Enumeration DateJuly 22, 2011
Last NPPES UpdateDecember 29, 20222 updates tracked since enumeration
NPPES CertifiedDecember 29, 2022
✔ NPI 1265710446 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyPsychologist · Clinical Child & AdolescentBehavioral Health & Social Service Providers
Taxonomy Code103TC2200X
Licenses✔ Licensed in NC · 5431✔ Licensed in IL · 071008673
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.
Also ListedPsychologistTaxonomy 103T00000X
Also ListedPsychologist · ClinicalTaxonomy 103TC0700X · License 071008673 (IL), 5431 (NC)
211 E SIX FORKS RD, Raleigh, NC 27609
Open in Google Maps ↗

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

ⓘ

Opted out of Medicare

Dr. Shannon V Erklin Ph.d. has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from October 18, 2018 through October 18, 2026.

Opt-Out Effective DateOctober 18, 2018
Opt-Out In Effect ThroughOctober 18, 2026Opt-out affidavits renew automatically every two years unless cancelled
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesAn opted-out provider can still order and refer for Medicare patients in the categories marked above, even though their own services are not covered.

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.

CORRIE A SWANSON CSAC
Counselor (Addiction (Substance Use Disorder))
211 E SIX FORKS RD, SUITE117
RALEIGH, NC 27609
Wake County (919) 833-8899
TURNER'S QUALITY HOME CARE SERVICES
Home Health
211 E SIX FORKS RD, 122
RALEIGH, NC 27609
Wake County (919) 828-6447
CNC ACCESS INC
Community/Behavioral Health
211 E SIX FORKS RD, SUITE 105
RALEIGH, NC 27609
Wake County (800) 866-0860
CNC ACCESS INC
Community/Behavioral Health
211 E SIX FORKS RD, SUITE 105
RALEIGH, NC 27609
Wake County (800) 866-0860
MRS. ERICA DAWN TURNER MA, LPC
Counselor (Professional)
211 E SIX FORKS RD
RALEIGH, NC 27609
Wake County (919) 850-3480
REACHING YOUR GOASL, INC
Community/Behavioral Health
211 E SIX FORKS RD, SUITE 201
RALEIGH, NC 27609
Wake County (910) 832-6150
JOSCELYN GEORGE COCKBURN
Counselor (Mental Health)
211 E SIX FORKS RD
RALEIGH, NC 27609
Wake County (919) 264-6546
WELLLIFE PRIMARY CARE
Clinic/Center (Primary Care)
211 E SIX FORKS RD, SUITE 122
RALEIGH, NC 27609
Wake County (919) 829-1315

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 Erklin's NPI number?

The NPI number for Shannon Erklin is 1265710446. It was assigned to this individual provider in the NPPES registry on July 22, 2011.

Where is Shannon Erklin located?

Shannon Erklin practices at 211 E Six Forks Rd Ste 114, Raleigh, NC 27609. The listed phone number is (919) 263-4177.

What is Shannon Erklin's specialty?

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

Is Shannon Erklin enrolled in Medicare?

No. Shannon Erklin has opted out of Medicare through October 18, 2026. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out. The provider remains eligible to order and refer services for Medicare patients.

When was this NPI record last updated?

The NPPES record for Shannon Erklin was last updated on December 29, 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.