SHANNON IVY HARRIS PSYD
NPI 1689492175
Psychologist - Cognitive & Behavioral in Indianapolis, IN
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
Specialties & Licenses 3
Other Names 1
Secondary Practice Locations 2
Other Identifiers 2
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
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.
Medicare Billing Reassignments
2Medicare enrollment records show Shannon Harris reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Indianapolis, IN 46202
- Reassigned Medicare billing, Indiana enrollment
- 5,212 clinicians in this Medicare group
Indianapolis, IN 46202
- Reassigned Medicare billing, Indiana enrollment
- 104 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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.
INDIANAPOLIS, IN 46202
INDIANAPOLIS, IN 46202
INDIANAPOLIS, IN 46202
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.
Which organizations bill Medicare for Shannon Harris's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Shannon Harris reassigns Medicare benefits to 2 organizations: Iu Health Medical Group, LLC (Indianapolis, IN) and Indiana Clinic-Neurology, LLC (Indianapolis, IN). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Shannon Harris's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Shannon Harris accept?
Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, Anthem Blue Cross and Blue Shield and CareSource and 1 other insurer 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 20 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.
# Shannon Ivy Harris, PSYD · NPI 1689492175
Cognitive & Behavioral provider in Indianapolis, Indiana. Individual provider, active in the CMS NPPES registry since October 2, 2024.
## Identity
- **NPI:** 1689492175 (Entity type: Individual)
- **Enumerated:** October 2, 2024
- **Primary specialty:** Psychologist - Cognitive & Behavioral · taxonomy 103TB0200X
- **State license:** 20043698A (Indiana)
- **Sole proprietor:** No
## Practice location
- **Address:** 355 W 16TH ST, STE 2500, Indianapolis, IN 46202-2280
- **Phone:** (317) 963-7204 · **Fax:** (317) 963-7211
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Bills Medicare through:** 2 organizations under Medicare reassignment (form CMS-855R): Iu Health Medical Group, LLC (NPI 1326893777, Indianapolis, IN); Indiana Clinic-Neurology, LLC (NPI 1578792271, Indianapolis, IN) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2022
## Record status
- **NPPES last updated:** February 11, 2025
- **Other identifiers:** Medicaid 300098450 (IN); Other 1104565401 (IN)
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Source: [NPI Profile](https://npiprofile.com/npi/1689492175) · Data from the CMS NPPES public registry.