SHANNON M STICKEN PSY.D.
NPI 1417281296
Psychologist - Clinical in Tucson, AZ

Q: What is Shannon Sticken's NPI number?

The NPI number for Shannon Sticken is 1417281296. It was assigned to this individual provider in the NPPES registry on September 25, 2009.

Q: What is Shannon Sticken's specialty?

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

Q: Is Shannon Sticken enrolled in Medicare?

No. Shannon Sticken has opted out of Medicare through February 13, 2027. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out.

Q: When was this NPI record last updated?

The NPPES record for Shannon Sticken was last updated on February 14, 2023. 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 25, 2009Opted out of Medicare · through Feb 13, 2027

1661 N SWAN RD STE 200-3, TUCSON, AZ 85712(520) 326-5761 Get Directions Write a Review

NPPES record last updated: February 14, 2023. Verified against the NPPES registry weekly; last sync: October 04, 2026.

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About Shannon M Sticken Psy.d. NPPES

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

SHANNON M STICKEN PSY.D. (NPI 1417281296) is an individual clinical provider in Tucson, Arizona, licensed in Arizona (4233) and active in the NPI registry since September 2009. She has opted out of Medicare through February 13, 2027.

NPPES Registry Identity

NPI1417281296

Entity TypeIndividualFemale

Primary Taxonomy103TC0700X

Provider Legal NameSHANNON M STICKENCredential: PSY.D.

Location Address1661 N SWAN RD STE 200-3Tucson, AZ 85712-4042

Mailing Address1661 N Swan Rd Ste 200-3Tucson, AZ 85712-4042 · (520) 326-5761

Phone(520) 326-5761

Sole ProprietorYes

Enumeration DateSeptember 25, 2009

Last NPPES UpdateFebruary 14, 2023

NPPES CertifiedFebruary 14, 2023

✔ NPI 1417281296 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPsychologist · ClinicalBehavioral Health & Social Service Providers

Taxonomy Code103TC0700X

License✔ Licensed in AZ · 4233

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 ListedCounselorTaxonomy 101Y00000X

1661 N SWAN RD STE 200-3, Tucson, AZ 85712

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross Blue Shield of Arizona.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

ⓘ

Opted out of Medicare

Shannon M Sticken Psy.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 February 13, 2023 through February 13, 2027.

Opt-Out Effective DateFebruary 13, 2023

Opt-Out In Effect ThroughFebruary 13, 2027Opt-out affidavits renew automatically every two years unless cancelled

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 Sticken's NPI number?

The NPI number for Shannon Sticken is 1417281296. It was assigned to this individual provider in the NPPES registry on September 25, 2009.

Where is Shannon Sticken located?

Shannon Sticken practices at 1661 N Swan Rd Ste 200-3, Tucson, AZ 85712. The listed phone number is (520) 326-5761.

What is Shannon Sticken's specialty?

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

Is Shannon Sticken enrolled in Medicare?

No. Shannon Sticken has opted out of Medicare through February 13, 2027. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out.

What insurance does Shannon Sticken accept?

Health plans from Blue Cross Blue Shield of Arizona list Shannon Sticken 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 Sticken was last updated on February 14, 2023. 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.