1. Home
  2. Directory
  3. California
  4. Modesto
  5. Psychiatry Neurology
  6. NPI Profile

SHANNON EASTON-CARR, MD, INC
NPI 1821480864
Psychiatry & Neurology - Psychiatry in Modesto, CA

Active since February 27, 2015
2102 EDSEL AVE, MODESTO, CA 95350(805) 762-4739(888) 462-8045 Get Directions Write a Review

NPPES record last updated: June 5, 2024. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Jun 5, 2024, Oct 16, 2023 (2 updates tracked since 2023).

About Shannon Easton-carr, Md, Inc NPPES

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

SHANNON EASTON-CARR, MD, INC (NPI 1821480864) is a healthcare organization registered as a psychiatry in Modesto, California and active in the NPI registry since February 2015. The organization maintains a secondary practice location in San Luis Obispo and lists Shannon Easton-carr, President, as its authorized official.

NPPES Registry Identity

NPI1821480864
Entity TypeOrganization
Primary Taxonomy2084P0800X
Legal Business NameSHANNON EASTON-CARR, MD, INC
Location Address2102 EDSEL AVEModesto, CA 95350-2819
Mailing Address1241 Johnson Ave, Box 313San Luis Obispo, CA 93401-3306 · (805) 762-4739 · Fax (888) 462-8045
Phone(805) 762-4739
Fax(888) 462-8045
Organization SubpartNo
Authorized OfficialShannon Easton-carrPresident · (805) 762-4739
Enumeration DateFebruary 27, 2015
Last NPPES UpdateJune 5, 20242 updates tracked since enumeration
NPPES CertifiedJune 5, 2024
✔ NPI 1821480864 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychiatry & Neurology · PsychiatryAllopathic & Osteopathic Physicians
Taxonomy Code2084P0800X
License✔ Licensed in CA · A111411
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.
2102 EDSEL AVE, Modesto, CA 95350
Open in Google Maps ↗

Secondary Practice Location 1

Location 11428 Phillips Ln Ste 202San Luis Obispo, CA 93401-2567 · Phone (805) 762-4739 · Fax (805) 462-8045

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Shannon Easton-carr, Md, Inc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Shannon Easton-Carr, MD, Inc, which bills Medicare for the services this clinician delivers.

Clinician (1)

Shannon Easton-Carr, MD
Psychiatry
NPI 1508091711
2102 EDSEL AVE
Modesto, CA 95350
(805) 762-4739
✔ PECOS✔ Accepts MedicareSame address

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 Easton-Carr, MD, Inc's NPI number?

The NPI number for Shannon Easton-Carr, MD, Inc is 1821480864. It was assigned to this organization in the NPPES registry on February 27, 2015.

Where is Shannon Easton-Carr, MD, Inc located?

Shannon Easton-Carr, MD, Inc is located at 2102 Edsel Ave, Modesto, CA 95350. The listed phone number is (805) 762-4739.

What is Shannon Easton-Carr, MD, Inc's specialty?

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

Is Shannon Easton-Carr, MD, Inc enrolled in Medicare?

Yes. Shannon Easton-Carr, MD, Inc is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Shannon Easton-Carr, MD, Inc?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Psychiatry) reassigns their Medicare billing to Shannon Easton-Carr, MD, Inc. A 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 the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Shannon Easton-Carr, MD, Inc was last updated on June 5, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.