SHANNON MARIE ERISMAN PHD
NPI 1427318104
Psychologist - Clinical in Providence, RI

Q: What is Shannon Erisman's NPI number?

The NPI number for Shannon Erisman is 1427318104. It was assigned to this individual provider in the NPPES registry on May 29, 2012.

Q: What is Shannon Erisman's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Shannon Erisman was last updated on October 11, 2023. 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.

Active since May 29, 2012

345 BLACKSTONE BLVD, PROVIDENCE, RI 02906(401) 455-6351(401) 455-6698 Get Directions Write a Review

NPPES record last updated: October 11, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

On this page

About Shannon Marie Erisman Phd NPPES

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

SHANNON MARIE ERISMAN PHD (NPI 1427318104) is an individual clinical provider in Providence, Rhode Island, licensed in Rhode Island (PS01283) and active in the NPI registry since May 2012.

NPPES Registry Identity

NPI1427318104

Entity TypeIndividualFemale

Primary Taxonomy103TC0700X

Provider Legal NameSHANNON MARIE ERISMANCredential: PHD

Location Address345 BLACKSTONE BLVDProvidence, RI 02906-4800

Mailing Address502 Bullocks Point AveRiverside, RI 02915-3504 · (401) 626-4823

Phone(401) 455-6351

Fax(401) 455-6698

Sole ProprietorYes

Enumeration DateMay 29, 2012

Last NPPES UpdateOctober 11, 2023

NPPES CertifiedOctober 11, 2023

✔ NPI 1427318104 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 RI · PS01283

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.

345 BLACKSTONE BLVD, Providence, RI 02906

Open in Google Maps ↗

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.

KEVIN E. BAILL MD & ASSOCIATES, LLC

Clinic/Center

345 BLACKSTONE BLVD
PROVIDENCE, RI 02906

Providence County (917) 447-2138

SHARATH PONNAPPA PUTTICHANDA

Psychiatry & Neurology (Psychiatry)

345 BLACKSTONE BLVD
PROVIDENCE, RI 02906

Providence County (401) 455-6346

MS. JASMINE APPLEBERRY M.S.W., L.I.C.S.W.

Social Worker (Clinical)

345 BLACKSTONE BLVD
PROVIDENCE, RI 02906

Providence County (401) 225-2044

BRITTANY CATHERINE DAWSON FNP-BC

Nurse Practitioner (Family)

345 BLACKSTONE BLVD, MEMORY AND AGING PROGRAM
PROVIDENCE, RI 02906

Providence County (401) 455-6403

CYNTHIA CHEN YANG MD

Psychiatry & Neurology (Psychiatry)

345 BLACKSTONE BLVD
PROVIDENCE, RI 02906

Providence County (401) 455-6373

DR. MICAH BENJAMIN DUGGINS-WARF MD

Psychiatry & Neurology (Psychiatry)

345 BLACKSTONE BLVD
PROVIDENCE, RI 02906

Providence County (716) 803-9249

KATHARINE ANNE PHILLIPS MD

Psychiatry & Neurology (Psychiatry)

345 BLACKSTONE BLVD
PROVIDENCE, RI 02906

Providence County (401) 455-6200

LISA BRAFF SHEA MD

Psychiatry & Neurology (Psychiatry)

345 BLACKSTONE BLVD
PROVIDENCE, RI 02906

Providence County (401) 455-6200

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 Erisman's NPI number?

The NPI number for Shannon Erisman is 1427318104. It was assigned to this individual provider in the NPPES registry on May 29, 2012.

Where is Shannon Erisman located?

Shannon Erisman practices at 345 Blackstone Blvd, Providence, RI 02906. The listed phone number is (401) 455-6351.

What is Shannon Erisman's specialty?

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

When was this NPI record last updated?

The NPPES record for Shannon Erisman was last updated on October 11, 2023. 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.