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DR. SHANNON GULLIVER CASPERSEN M.D.
NPI 1801039656
Psychiatry & Neurology - Psychiatry in New York, NY

Active since April 09, 2009Opted out of Medicare · through Jan 31, 2028
980 MADISON AVENUE, SUITE # 207, NEW YORK, NY 10075(646) 397-4680 Get Directions Write a Review

NPPES record last updated: March 20, 2014. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Shannon Gulliver Caspersen M.d. NPPES

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

DR. SHANNON GULLIVER CASPERSEN M.D. (NPI 1801039656) is an individual psychiatry provider in New York, New York, licensed in New York (259217-1) and active in the NPI registry since April 2009. She has opted out of Medicare through January 31, 2028 and remains eligible to order and refer.

NPPES Registry Identity

NPI1801039656
Entity TypeIndividualFemale
Primary Taxonomy2084P0800X
Provider Legal NameDR. SHANNON GULLIVER CASPERSENCredential: M.D.
Location Address980 MADISON AVENUE, SUITE # 207New York, NY 10075
Mailing Address70 East 96th Street, #4cNew York, NY 10128 · (646) 397-4680
Phone(646) 397-4680
Sole ProprietorNo
Enumeration DateApril 9, 2009
Last NPPES UpdateMarch 20, 2014
✔ NPI 1801039656 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPsychiatry & Neurology · PsychiatryAllopathic & Osteopathic Physicians
Taxonomy Code2084P0800X
License✔ Licensed in NY · 259217-1
Definition
A Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment disorders. Biologic, psychological, and social components of illnesses are explored and understood in treatment of the whole person. Tools used may include diagnostic laboratory tests, prescribed medications, evaluation and treatment of psychological and interpersonal problems with individuals and families, and intervention for coping with stress, crises, and other problems.
Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X
980 MADISON AVENUE, New York, NY 10075
Open in Google Maps ↗

Other Names 1

Former Name (1)Dr. Shannon Alexandra Gulliver M.d

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

ⓘ

Opted out of Medicare

Dr. Shannon Gulliver Caspersen M.d. has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from January 31, 2018 through January 31, 2028.

Opt-Out Effective DateJanuary 31, 2018
Opt-Out In Effect ThroughJanuary 31, 2028Opt-out affidavits renew automatically every two years unless cancelled
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesAn opted-out provider can still order and refer for Medicare patients in the categories marked above, even though their own services are not covered.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 10075 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
$198.19 typical visit price
range $65.69 – $198.19
Typical copayment $49.54 (range $16.42 – $49.54)
Most-billed visit code 99205
Established Patient
$81.44 typical visit price
range $21.20 – $160.66
Typical copayment $20.36 (range $5.30 – $40.16)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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 Caspersen's NPI number?

The NPI number for Shannon Caspersen is 1801039656. It was assigned to this individual provider in the NPPES registry on April 9, 2009. The provider is also known as Dr. Shannon Alexandra Gulliver M.D.

Where is Shannon Caspersen located?

Shannon Caspersen practices at 980 Madison Avenue Suite # 207, New York, NY 10075. The listed phone number is (646) 397-4680.

What is Shannon Caspersen's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Psychiatry, with taxonomy code 2084P0800X.

Is Shannon Caspersen enrolled in Medicare?

No. Shannon Caspersen has opted out of Medicare through January 31, 2028. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out. The provider remains eligible to order and refer services for Medicare patients.

When was this NPI record last updated?

The NPPES record for Shannon Caspersen was last updated on March 20, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.