DR. DEAN WOODROW SHANDY D.O.
NPI 1356786198
Psychiatry & Neurology - Child & Adolescent Psychiatry in Blackfoot, ID

Active since May 07, 2013PECOS EnrolledAccepts Medicare Assignment
98 POPLAR ST, BLACKFOOT, ID 83221(208) 782-2991(208) 785-3876 Get Directions Write a Review

NPPES record last updated: April 9, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Apr 9, 2026, Jun 27, 2018, Feb 14, 2017 (3 updates tracked since 2017).

About Dr. Dean Woodrow Shandy D.o. NPPES

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

DR. DEAN WOODROW SHANDY D.O. (NPI 1356786198) is an individual child & adolescent psychiatry provider in Blackfoot, Idaho, licensed in Idaho (O-1419) and active in the NPI registry since May 2013. He is enrolled in Medicare PECOS, maintains a secondary practice location in Idaho Falls, and is a graduate of Other (2017).

NPPES Registry Identity

NPI1356786198
Entity TypeIndividualMale
Primary Taxonomy2084P0804X
Provider Legal NameDR. DEAN WOODROW SHANDYCredential: D.O.
Location Address98 POPLAR STBlackfoot, ID 83221-1799
Mailing Address98 Poplar StBlackfoot, ID 83221-1799 · (208) 782-2991 · Fax (208) 785-3876
Fax(208) 785-3876
Sole ProprietorNo
Medical School CMSOtherGraduated 2017
Enumeration DateMay 7, 2013
Last NPPES UpdateApril 9, 20263 updates tracked since enumeration
NPPES CertifiedApril 9, 2026
NPI 1356786198 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyPsychiatry & Neurology · Child & Adolescent PsychiatryAllopathic & Osteopathic Physicians
Taxonomy Code2084P0804X
License Licensed in ID · O-1419
Definition
Child & Adolescent Psychiatry is a subspecialty of psychiatry with additional skills and training in the diagnosis and treatment of developmental, behavioral, emotional, and mental disorders of childhood and adolescence.
Also ListedPsychiatry & Neurology · PsychiatryTaxonomy 2084P0800X · License O-1419 (ID)
98 POPLAR ST, Blackfoot, ID 83221

Secondary Practice Location 1

Location 11975 Martha Ave Ste AIdaho Falls, ID 83404-7580 · Phone (208) 782-2991 · Fax (208) 785-3876

Other Identifiers 4

Other16721CWY · Wy State Lic
OtherMED-PHYS-COM-LIC-135MT · Mt State License
Medicaid103243408PA
OtherO-1419ID · Id State Med Lic

Accepted Insurance

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Dr. Dean Woodrow Shandy D.o. 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 ID2163704990
PECOS Enrollment IDI20200916002445
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.

Physician Assistant (Surgical)
98 POPLAR ST
BLACKFOOT, ID 83221
Podiatrist (Foot & Ankle Surgery)
98 POPLAR ST
BLACKFOOT, ID 83221
Pharmacist
98 POPLAR ST
BLACKFOOT, ID 83221
Nurse Practitioner (Family)
98 POPLAR ST
BLACKFOOT, ID 83221
Internal Medicine (Endocrinology, Diabetes & Metabolism)
98 POPLAR ST
BLACKFOOT, ID 83221
Nurse Practitioner (Family)
98 POPLAR ST
BLACKFOOT, ID 83221
Counselor
98 POPLAR ST, THIRD FLOOR
BLACKFOOT, ID 83221
Physician Assistant (Medical)
98 POPLAR ST
BLACKFOOT, ID 83221

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 Dean Shandy's NPI number?

The NPI number for Dean Shandy is 1356786198. It was assigned to this individual provider in the NPPES registry on May 7, 2013.

Where is Dean Shandy located?

Dean Shandy practices at 98 Poplar St, Blackfoot, ID 83221. The listed phone number is (208) 782-2991.

What is Dean Shandy's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Child & Adolescent Psychiatry, with taxonomy code 2084P0804X.

Is Dean Shandy enrolled in Medicare?

Yes. Dean Shandy 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.

What insurance does Dean Shandy accept?

Health plans from Moda Health Plan, Inc. and Select Health list Dean Shandy 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 Dean Shandy was last updated on April 9, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 months 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.