MELISSA SHANAHAN PSYD
NPI 1639487309
Psychologist in Atlanta, GA

Active since September 16, 2010Opted out of Medicare · through Oct 1, 2026
1000 JOHNSON FERRY ROAD, NORTHSIDE HOSPITAL, ATLANTA, GA 30342(404) 365-0966 Get Directions Write a Review

NPPES record last updated: March 26, 2015. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Melissa Shanahan Psyd NPPES

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

MELISSA SHANAHAN PSYD (NPI 1639487309) is an individual psychologist in Atlanta, Georgia, licensed in Georgia (PSY003402) and active in the NPI registry since September 2010. She has opted out of Medicare through October 1, 2026 and remains eligible to order and refer.

NPPES Registry Identity

NPI1639487309
Entity TypeIndividualFemale
Primary Taxonomy103T00000X
Provider Legal NameMELISSA SHANAHANCredential: PSYD
Location Address1000 JOHNSON FERRY ROAD, NORTHSIDE HOSPITALAtlanta, GA 30342
Mailing Address3495 Piedmont Road, Ne, Nine Piedmont CenterAtlanta, GA 30505 · (404) 364-7070
Sole ProprietorNo
Enumeration DateSeptember 16, 2010
Last NPPES UpdateMarch 26, 2015
NPI 1639487309 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPsychologistBehavioral Health & Social Service Providers
Taxonomy Code103T00000X
License Licensed in GA · PSY003402
Definition
A psychologist is an individual who is licensed to practice psychology which is defined as the observation, description, evaluation, interpretation, and modification of human behavior by the application of psychological principles, methods, and procedures, for the purpose of preventing or eliminating symptomatic, maladaptive, or undesired behavior and of enhancing interpersonal relationships, work and life adjustment, personal effectiveness, behavioral health, and mental health. The practice of psychology includes, but is not limited to, psychological testing and the evaluation or assessment of personal characteristics, such as intelligence, personality, abilities, interests, aptitudes, and neuropsychological functioning; counseling, psychoanalysis, psychotherapy, hypnosis, biofeedback, and behavior analysis and therapy; diagnosis and treatment of mental and emotional disorder or disability, alcoholism and substance abuse, disorders of habit or conduct, as well as of the psychological aspects of physical illness, accident, injury, or disability; and psycheducational evaluation, therapy, remediation, and consultation. Psychological services may be rendered to individuals, families, groups and the public.
1000 JOHNSON FERRY ROAD, Atlanta, GA 30342

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Opted out of Medicare

Melissa Shanahan Psyd 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 October 1, 2020 through October 1, 2026.

Opt-Out Effective DateOctober 1, 2020
Opt-Out In Effect ThroughOctober 1, 2026Opt-out affidavits renew automatically every two years unless cancelled
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesAn opted-out provider can still order and refer for Medicare patients in the categories marked above, even though their own services are not covered.

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.

Nurse Anesthetist, Certified Registered
1000 JOHNSON FERRY ROAD
ATLANTA, GA 30342
Anesthesiologist Assistant
1000 JOHNSON FERRY ROAD
ATLANTA, GA 30342
Nurse Anesthetist, Certified Registered
1000 JOHNSON FERRY ROAD
ATLANTA, GA 30342
Internal Medicine
1000 JOHNSON FERRY ROAD, KAISER PERMANENTE HOSPITAL SERVICES
ATLANTA, GA 30342
Nuclear Medicine
1000 JOHNSON FERRY ROAD
ATLANTA, GA 30342
Anesthesiologist Assistant
1000 JOHNSON FERRY ROAD
ATLANTA, GA 30342
Durable Medical Equipment & Medical Supplies
1000 JOHNSON FERRY ROAD
ATLANTA, GA 30342
Anesthesiologist Assistant
1000 JOHNSON FERRY ROAD
ATLANTA, GA 30342

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 Melissa Shanahan's NPI number?

The NPI number for Melissa Shanahan is 1639487309. It was assigned to this individual provider in the NPPES registry on September 16, 2010.

Where is Melissa Shanahan located?

Melissa Shanahan practices at 1000 Johnson Ferry Road Northside Hospital, Atlanta, GA 30342. The listed phone number is (404) 365-0966.

What is Melissa Shanahan's specialty?

The primary specialty registered for this NPI is Psychologist with taxonomy code 103T00000X.

Is Melissa Shanahan enrolled in Medicare?

No. Melissa Shanahan has opted out of Medicare through October 1, 2026. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out. The provider remains eligible to order and refer services for Medicare patients.

When was this NPI record last updated?

The NPPES record for Melissa Shanahan was last updated on March 26, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.