DR. SHANNON CLARK PHD
NPI 1649852930
Psychologist in Saint Louis, MO

Active since April 26, 2021
7750 CLAYTON RD STE 312, SAINT LOUIS, MO 63117(314) 866-3957 Get Directions Write a Review

NPPES record last updated: August 29, 2024. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: May 10, 2022, Nov 16, 2021, Aug 11, 2021 and 1 more (4 updates tracked since 2021).

About Dr. Shannon Clark Phd NPPES

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

DR. SHANNON CLARK PHD (NPI 1649852930) is an individual psychologist in Saint Louis, Missouri, licensed in Missouri (2021045663) and active in the NPI registry since April 2021.

NPPES Registry Identity

NPI1649852930
Entity TypeIndividualFemale
Primary Taxonomy103T00000X
Provider Legal NameDR. SHANNON CLARKCredential: PHD
Location Address7750 CLAYTON RD STE 312Saint Louis, MO 63117-1341
Mailing Address4625 Lindell BlvdSaint Louis, MO 63108-3725 · (314) 866-3957
Sole ProprietorYes
Enumeration DateApril 26, 2021
Last NPPES UpdateAugust 29, 20244 updates tracked since enumeration
NPPES CertifiedAugust 29, 2024
NPI 1649852930 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPsychologistBehavioral Health & Social Service Providers
Taxonomy Code103T00000X
Licenses Licensed in MO · 2021045663 Licensed in UT · 12016019-2501
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.
7750 CLAYTON RD STE 312, Saint Louis, MO 63117

Other Names 1

Former Name (1)Shannon Clark-sienkiewicz

Other Providers at the Same Location NPPES 3

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

Clinic/Center (Mental Health (Including Community Mental Health Center))
7750 CLAYTON RD STE 312
RICHMOND HEIGHTS, MO 63117
Social Worker (Clinical)
7750 CLAYTON RD STE 312
RICHMOND HEIGHTS, MO 63117
Social Worker (Clinical)
7750 CLAYTON RD STE 312
RICHMOND HEIGHTS, MO 63117

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 Clark's NPI number?

The NPI number for Shannon Clark is 1649852930. It was assigned to this individual provider in the NPPES registry on April 26, 2021. The provider is also known as Shannon Clark-Sienkiewicz.

Where is Shannon Clark located?

Shannon Clark practices at 7750 Clayton Rd Ste 312, Saint Louis, MO 63117. The listed phone number is (314) 866-3957.

What is Shannon Clark's specialty?

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

When was this NPI record last updated?

The NPPES record for Shannon Clark was last updated on August 29, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 23 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.