SHANNON JEAN MAXWELL PSY.D, LP
NPI 1790058089
Psychologist - Clinical in Spearfish, SD

Q: What is Shannon Maxwell's NPI number?

The NPI number for Shannon Maxwell is 1790058089. It was assigned to this individual provider in the NPPES registry on February 16, 2012.

Q: What is Shannon Maxwell's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Shannon Maxwell was last updated on January 20, 2026. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since February 16, 2012PECOS EnrolledAccepts Medicare Assignment

115 N 7TH ST STE 6, SPEARFISH, SD 57783(605) 645-0100(605) 717-1009 Get Directions Write a Review

NPPES record last updated: January 20, 2026. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Jan 20, 2026, Mar 12, 2019, Mar 17, 2018 (3 updates tracked since 2018).

On this page

About Shannon Jean Maxwell Psy.d, Lp NPPES

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

SHANNON JEAN MAXWELL PSY.D, LP (NPI 1790058089) is an individual clinical provider in Spearfish, South Dakota, licensed in South Dakota (530) and active in the NPI registry since February 2012. She is enrolled in Medicare PECOS, maintains a secondary practice location in Rapid City, and is a graduate of Other (2001).

NPPES Registry Identity

NPI1790058089

Entity TypeIndividualFemale

Primary Taxonomy103TC0700X

Provider Legal NameSHANNON JEAN MAXWELLCredential: PSY.D, LP

Location Address115 N 7TH ST STE 6Spearfish, SD 57783-2710

Mailing Address115 N 7th St Ste 6Spearfish, SD 57783-2710 · (605) 645-0100 · Fax (605) 717-1009

Phone(605) 645-0100

Fax(605) 717-1009

Sole ProprietorNo

Medical School CMSOtherGraduated 2001

Enumeration DateFebruary 16, 2012

Last NPPES UpdateJanuary 20, 20263 updates tracked since enumeration

NPPES CertifiedJanuary 20, 2026

✔ NPI 1790058089 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychologist · ClinicalBehavioral Health & Social Service Providers

Taxonomy Code103TC0700X

License✔ Licensed in SD · 530

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.

115 N 7TH ST STE 6, Spearfish, SD 57783

Open in Google Maps ↗

Secondary Practice Location 1

Location 12525 W Main St Ste 210Rapid City, SD 57702-2439 · Phone (605) 645-0100 · Fax (605) 717-1009

Other Identifiers 1

Medicaid2009373SD

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Avera Health Plans, Providence Health Plan, Sanford Health Plan.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 Jean Maxwell Psy.d, Lp 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 ID4486970407

PECOS Enrollment IDI20150310000026

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Areas of Expertise CMS Part B claims 5

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Administration of psychological or neuropsychological test by technician, each additional 30 minutes 96139

This service involves a technician administering additional psychological or neuropsychological testing. Each session lasts for an extra 30 minutes. These tests assess cognitive abilities, such as memory, attention, and problem-solving skills, to aid in diagnosing or monitoring mental health conditions.

116 services33 patients

Evaluation of psychological test, each additional hour 96131

This service involves additional hours spent on assessing psychological tests. It helps to understand your mental health better, identifying any potential issues or disorders. It's a crucial step in creating an effective treatment plan.

54 services31 patients

Psychiatric diagnostic evaluation 90791

A psychiatric diagnostic evaluation is a thorough assessment used to identify any mental health conditions you may have. It involves a detailed discussion about your symptoms, thoughts, feelings and behavior patterns. Your medical history and family's mental health history are also considered.

37 services37 patients

Evaluation of psychological test, first hour 96130

This procedure involves a professional assessing your mental health using standardized tests. It's the initial hour of a process that helps understand your emotional well-being and cognitive abilities. It's completely non-invasive and confidential.

34 services33 patients

Administration of psychological or neuropsychological test by technician, first 30 minutes 96138

This procedure involves a trained technician administering a psychological or neuropsychological test. It's a process that assesses your mental function and behavior. The initial session will last 30 minutes. The aim is to understand your cognitive abilities better.

33 services33 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 57783 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$167.23 typical visit price

range $55.52 – $167.23

Typical copayment $41.80 (range $13.88 – $41.80)

Most-billed visit code 99205

Established Patient

$97.88 typical visit price

range $18.08 – $137.08

Typical copayment $24.47 (range $4.52 – $34.27)

Most-billed visit code 99214

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Leave this field empty

Other Providers at the Same Location NPPES 12

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

DR. TRAVIS HUGH WILLIAMSON DNP, CNP, PMHNP-BC

Nurse Practitioner (Psychiatric/Mental Health)