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SHANNEN ANDERSON PSY.D.
NPI 1548872740
Psychologist - Clinical in Fall River, MA

Active since August 19, 2020PECOS Enrolled
386 STANLEY ST, FALL RIVER, MA 02720(508) 679-5222(508) 673-3182 Get Directions Write a Review

NPPES record last updated: December 10, 2024. Verified against the NPPES registry weekly; last sync: October 04, 2026.

Record update history: Dec 10, 2024, Aug 19, 2020 (2 updates tracked since 2020).

About Shannen Anderson Psy.d. NPPES

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

SHANNEN ANDERSON PSY.D. (NPI 1548872740) is an individual clinical provider in Fall River, Massachusetts, licensed in Virginia (0810008539) and active in the NPI registry since August 2020. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1548872740
Entity TypeIndividualFemale
Primary Taxonomy103TC0700X
Provider Legal NameSHANNEN ANDERSONCredential: PSY.D.
Location Address386 STANLEY STFall River, MA 02720-6009
Mailing Address951 Northview DrSanford, NC 27332-1701 · (760) 883-0565
Phone(508) 679-5222
Fax(508) 673-3182
Sole ProprietorNo
Enumeration DateAugust 19, 2020
Last NPPES UpdateDecember 10, 20242 updates tracked since enumeration
NPPES CertifiedDecember 10, 2024
✔ NPI 1548872740 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 VA · 0810008539
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
386 STANLEY ST, Fall River, MA 02720
Open in Google Maps ↗

Other Names 1

Former Name (1)Shannen Gordon

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Shannen Anderson Psy.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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 02720 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
$177.36 typical visit price
range $58.86 – $177.36
Typical copayment $44.34 (range $14.71 – $44.34)
Most-billed visit code 99205
Established Patient
$103.48 typical visit price
range $19.11 – $144.84
Typical copayment $25.87 (range $4.77 – $36.21)
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 20

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

SUSANNA SYLVIA LICSW
Counselor
386 STANLEY ST
FALL RIVER, MA 02720
Bristol County (508) 679-5222
KATHERINE E SERRA CNP
Nurse Practitioner (Psychiatric/Mental Health)
386 STANLEY ST
FALL RIVER, MA 02720
Bristol County (508) 679-5222
MATTHEW PAUL BOCK PMHNP-BC
Nurse Practitioner (Psychiatric/Mental Health)
386 STANLEY ST
FALL RIVER, MA 02720
Bristol County (508) 679-5222
STEPHANIE TRAVER
Counselor
386 STANLEY ST
FALL RIVER, MA 02720
Bristol County (508) 679-5222
KATHY BELANGER LMFT,LRC
Counselor (Addiction (Substance Use Disorder))
386 STANLEY ST
FALL RIVER, MA 02720
Bristol County (508) 324-3550
NICOLE PERRY
Case Manager/Care Coordinator
386 STANLEY ST
FALL RIVER, MA 02720
Bristol County (508) 679-5222
ROBERT JAMES GALLIGAN
Case Manager/Care Coordinator
386 STANLEY ST
FALL RIVER, MA 02720
Bristol County (508) 667-9522
KELLY J TAYLOR MS,MA
Counselor (Addiction (Substance Use Disorder))
386 STANLEY ST
FALL RIVER, MA 02720
Bristol County (508) 679-5222

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 Shannen Anderson's NPI number?

The NPI number for Shannen Anderson is 1548872740. It was assigned to this individual provider in the NPPES registry on August 19, 2020. The provider is also known as Shannen Gordon.

Where is Shannen Anderson located?

Shannen Anderson practices at 386 Stanley St, Fall River, MA 02720. The listed phone number is (508) 679-5222.

What is Shannen Anderson's specialty?

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

Is Shannen Anderson enrolled in Medicare?

Yes. Shannen Anderson is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Shannen Anderson was last updated on December 10, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 21 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.