DR. SHANNON LEWIS PSY.D.
NPI 1811206121
Psychologist - Clinical in Stoughton, MA

Q: What is Shannon Lewis's NPI number?

The NPI number for Shannon Lewis is 1811206121. It was assigned to this individual provider in the NPPES registry on October 4, 2010.

Q: What is Shannon Lewis's specialty?

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

Q: Is Shannon Lewis enrolled in Medicare?

No. Shannon Lewis has opted out of Medicare through July 8, 2027. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out.

Q: When was this NPI record last updated?

The NPPES record for Shannon Lewis was last updated on February 7, 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.

Active since October 04, 2010Opted out of Medicare · through Jul 8, 2027

450 PEARL ST STE 3, STOUGHTON, MA 02072(781) 318-3177 Get Directions Write a Review

NPPES record last updated: February 7, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Dr. Shannon Lewis Psy.d. NPPES

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

DR. SHANNON LEWIS PSY.D. (NPI 1811206121) is an individual clinical provider in Stoughton, Massachusetts, licensed in Massachusetts (9667) and active in the NPI registry since October 2010. She has opted out of Medicare through July 8, 2027.

NPPES Registry Identity

NPI1811206121

Entity TypeIndividualFemale

Primary Taxonomy103TC0700X

Provider Legal NameDR. SHANNON LEWISCredential: PSY.D.

Location Address450 PEARL ST STE 3Stoughton, MA 02072-1617

Mailing Address450 Pearl St Ste 3Stoughton, MA 02072-1617 · (781) 318-3177

Phone(781) 318-3177

Sole ProprietorYes

Enumeration DateOctober 4, 2010

Last NPPES UpdateFebruary 7, 2022

NPPES CertifiedFebruary 7, 2022

✔ NPI 1811206121 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 MA · 9667

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.

450 PEARL ST STE 3, Stoughton, MA 02072

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Sheld, Anthem Blue Cross and Blue Shield.Insurance ›

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 Lewis Psy.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 July 8, 2025 through July 8, 2027.

Opt-Out Effective DateJuly 8, 2025

Opt-Out In Effect ThroughJuly 8, 2027Opt-out affidavits renew automatically every two years unless cancelled

Other Providers at the Same Location NPPES 19

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

ALAA TELLO

Counselor (Mental Health)