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SHANNON IVY HARRIS PSYD
NPI 1689492175
Psychologist - Cognitive & Behavioral in Indianapolis, IN

Active since October 02, 2024Accepts Medicare Assignment
355 W 16TH ST, STE 2500, INDIANAPOLIS, IN 46202(317) 963-7204(317) 963-7211 Get Directions Write a Review

NPPES record last updated: February 11, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Feb 11, 2025, Oct 2, 2024 (2 updates tracked since 2024).

About Shannon Ivy Harris Psyd NPPES

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

SHANNON IVY HARRIS PSYD (NPI 1689492175) is an individual cognitive & behavioral provider in Indianapolis, Indiana, licensed in Indiana (20043698A) and active in the NPI registry since October 2024. She maintains 2 additional practice locations and is a graduate of Other (2022).

NPPES Registry Identity

NPI1689492175
Entity TypeIndividualFemale
Primary Taxonomy103TB0200X
Provider Legal NameSHANNON IVY HARRISCredential: PSYD
Location Address355 W 16TH ST, STE 2500Indianapolis, IN 46202-2280
Mailing Address250 N Shadeland AveIndianapolis, IN 46219-4959
Phone(317) 963-7204
Fax(317) 963-7211
Sole ProprietorNo
Medical School CMSOtherGraduated 2022
Enumeration DateOctober 2, 2024
Last NPPES UpdateFebruary 11, 20252 updates tracked since enumeration
NPPES CertifiedFebruary 11, 2025
✔ NPI 1689492175 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyPsychologist · Cognitive & BehavioralBehavioral Health & Social Service Providers
Taxonomy Code103TB0200X
License✔ Licensed in IN · 20043698A
Definition
A psychologist who reflects an experimental-clinical approach distinguished by use of principles of human learning and development and theories of cognitive processing to promote meaningful change in maladaptive human behavior and thinking.
Also ListedPsychologist · ClinicalTaxonomy 103TC0700X · License 20043698A (IN)
Also ListedPsychologist · Health ServiceTaxonomy 103TH0100X · License 20043698B (IN)
355 W 16TH ST, Indianapolis, IN 46202
Open in Google Maps ↗

Other Names 1

Former Name (1)Shannon Ivy Reid

Secondary Practice Locations 2

Location 1250 N Shadeland AveIndianapolis, IN 46219-4959 · Phone (317) 963-7822 · Fax (317) 963-7848
Location 21701 N Senate BlvdIndianapolis, IN 46202-1239 · Phone (888) 484-3258

Other Identifiers 2

Medicaid300098450IN
Other1104565401IN · Anthem Ptan

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter from Meridian, Ambetter Health and more.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Shannon Ivy Harris Psyd is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID9133652985
PECOS Enrollment IDI20241031002384

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.

PEGGY B BARNES LCSW
Social Worker
355 W 16TH ST
INDIANAPOLIS, IN 46202
Marion County (317) 963-7300
DR. SARAH A LANDSBERGER PHD
Psychologist (Clinical)
355 W 16TH ST
INDIANAPOLIS, IN 46202
Marion County (317) 963-7300
HALIMAH YUSRA ORAL MD
Psychiatry & Neurology (Psychiatry)
355 W 16TH ST
INDIANAPOLIS, IN 46202
Marion County (313) 785-0424
ANDREW T FILIPOWICZ MD
Psychiatry & Neurology (Psychiatry)
355 W 16TH ST
INDIANAPOLIS, IN 46202
Marion County (317) 963-7307
INDIANA UNIVERSITY PSYCHIATRIC ASSOCIATES, INC.
Psychiatry & Neurology (Psychiatry)
355 W 16TH ST
INDIANAPOLIS, IN 46202
Marion County (317) 963-7285
DR. SARAH ELIZABETH ZAUBER M.D.
Psychiatry & Neurology (Neurology)
355 W 16TH ST, STE 3200
INDIANAPOLIS, IN 46202
Marion County (317) 948-5450
DR. JOYATEE MUDRA SARKER MD, PHD
Student in an Organized Health Care Education/Training Program
355 W 16TH ST
INDIANAPOLIS, IN 46202
Marion County (317) 963-7307
MINERVA TORRE RN
Registered Nurse
355 W 16TH ST, 5100
INDIANAPOLIS, IN 46202
Marion County (317) 396-1300

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 Harris's NPI number?

The NPI number for Shannon Harris is 1689492175. It was assigned to this individual provider in the NPPES registry on October 2, 2024. The provider is also known as Shannon Ivy Reid.

Where is Shannon Harris located?

Shannon Harris practices at 355 W 16th St Ste 2500, Indianapolis, IN 46202. The listed phone number is (317) 963-7204.

What is Shannon Harris's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Cognitive & Behavioral, with taxonomy code 103TB0200X.

Is Shannon Harris enrolled in Medicare?

Yes. Shannon Harris is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Shannon Harris accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian and CareSource list Shannon Harris 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 Harris was last updated on February 11, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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.