DR. SHANNON CONNELL PH.D.
NPI 1366685141
Psychologist - Clinical in Holland, MI

Active since April 09, 2009PECOS EnrolledAccepts Medicare Assignment
36 W 8TH ST STE 200, HOLLAND, MI 49423(616) 396-4846(616) 396-4846 Get Directions Write a Review

NPPES record last updated: July 28, 2021. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Jul 28, 2021, Jul 6, 2021, Jun 28, 2021 and 2 more (5 updates tracked since 2017).

About Dr. Shannon Connell Ph.d. NPPES

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

DR. SHANNON CONNELL PH.D. (NPI 1366685141) is an individual clinical provider in Holland, Michigan, licensed in Michigan (6301018872) and active in the NPI registry since April 2009. She is enrolled in Medicare PECOS, maintains a secondary practice location in Holland, and is a graduate of Other (2019).

NPPES Registry Identity

NPI1366685141
Entity TypeIndividualFemale
Primary Taxonomy103TC0700X
Provider Legal NameDR. SHANNON CONNELLCredential: PH.D.
Location Address36 W 8TH ST STE 200Holland, MI 49423-2702
Mailing Address36 W 8th St Ste 200Holland, MI 49423-2702 · (166) 396-4846 · Fax (616) 396-4846
Fax(616) 396-4846
Sole ProprietorYes
Medical School CMSOtherGraduated 2019
Enumeration DateApril 9, 2009
Last NPPES UpdateJuly 28, 20215 updates tracked since enumeration
NPPES CertifiedJuly 28, 2021
NPI 1366685141 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

Primary SpecialtyPsychologist · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code103TC0700X
Licenses Licensed in MI · 6301018872 Licensed in MA · 6301013914 Licensed in MI · 6301013914
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.
Also ListedCounselor · Mental HealthTaxonomy 101YM0800X · License 6301013914 (MI)
Also ListedPsychologist · CounselingTaxonomy 103TC1900X · License 6301013914 (MI)
36 W 8TH ST STE 200, Holland, MI 49423

Secondary Practice Location 1

Location 136 W 8th StHolland, MI 49423-2701 · Phone (616) 396-4846 · Fax (616) 396-4846

Other Identifiers 1

Medicaid1912452MI

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. Shannon Connell Ph.d. 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 ID547667537
PECOS Enrollment IDI20210917000304
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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 49423 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
$166.68 typical visit price
range $54.34 – $166.68
Typical copayment $41.67 (range $13.58 – $41.67)
Most-billed visit code 99205
Established Patient
$96.44 typical visit price
range $17.09 – $135.40
Typical copayment $24.11 (range $4.27 – $33.85)
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 2

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

Psychologist (Clinical)
36 W 8TH ST STE 200
HOLLAND, MI 49423
Clinic/Center (Adult Mental Health)
36 W 8TH ST STE 200
HOLLAND, MI 49423

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 Connell's NPI number?

The NPI number for Shannon Connell is 1366685141. It was assigned to this individual provider in the NPPES registry on April 9, 2009.

Where is Shannon Connell located?

Shannon Connell practices at 36 W 8th St Ste 200, Holland, MI 49423. The listed phone number is (616) 396-4846.

What is Shannon Connell's specialty?

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

Is Shannon Connell enrolled in Medicare?

Yes. Shannon Connell 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 Shannon Connell accept?

Health plans from Blue Care Network of Michigan, Blue Cross Blue Shield of Michigan Mutual Insurance Company and Priority Health list Shannon Connell 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 Connell was last updated on July 28, 2021. NPI Profile syncs with the weekly NPPES data releases published by CMS.