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SHANNON YORK PSY.D.
NPI 1770008963
Psychologist - Clinical in Jacksonville, FL

Active since August 08, 2017
8880 OLD KINGS RD S UNIT 71, JACKSONVILLE, FL 32257(904) 469-6930 Get Directions Write a Review

NPPES record last updated: March 11, 2022. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Mar 11, 2022, Aug 9, 2019, Aug 8, 2017 (3 updates tracked since 2017).

About Shannon York Psy.d. NPPES

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

SHANNON YORK PSY.D. (NPI 1770008963) is an individual clinical provider in Jacksonville, Florida, licensed in Florida (PY11411) and active in the NPI registry since August 2017. She maintains a secondary practice location in Jacksonville Beach.

NPPES Registry Identity

NPI1770008963
Entity TypeIndividualFemale
Primary Taxonomy103TC0700X
Provider Legal NameSHANNON YORKCredential: PSY.D.
Location Address8880 OLD KINGS RD S UNIT 71Jacksonville, FL 32257-5313
Mailing Address8880 Old Kings Rd S Unit 71Jacksonville, FL 32257-5313 · (904) 469-6930
Phone(904) 469-6930
Sole ProprietorYes
Enumeration DateAugust 8, 2017
Last NPPES UpdateMarch 11, 20223 updates tracked since enumeration
NPPES CertifiedMarch 11, 2022
✔ NPI 1770008963 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 FL · PY11411
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 ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X
8880 OLD KINGS RD S UNIT 71, Jacksonville, FL 32257
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Secondary Practice Location 1

Location 11552 Roberts DrJacksonville Beach, FL 32250-3222 · Phone (904) 299-3420

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 York's NPI number?

The NPI number for Shannon York is 1770008963. It was assigned to this individual provider in the NPPES registry on August 8, 2017.

Where is Shannon York located?

Shannon York practices at 8880 Old Kings Rd S Unit 71, Jacksonville, FL 32257. The listed phone number is (904) 469-6930.

What is Shannon York's specialty?

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

When was this NPI record last updated?

The NPPES record for Shannon York was last updated on March 11, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.