DR. SANDRA SHALLCROSS PH.D., L.P.
NPI 1861892853
Psychologist - Counseling in Minneapolis, MN

Active since August 27, 2014Opted out of Medicare · through Sep 1, 2026
701 PARK AVE, OUTPATIENT PSYCHIATRY S1, MINNEAPOLIS, MN 55415(612) 987-5212 Get Directions Write a Review

NPPES record last updated: January 8, 2015. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Dr. Sandra Shallcross Ph.d., L.p. NPPES

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

DR. SANDRA SHALLCROSS PH.D., L.P. (NPI 1861892853) is an individual counseling provider in Minneapolis, Minnesota, licensed in Minnesota (5803) and active in the NPI registry since August 2014. She has opted out of Medicare through September 1, 2026.

NPPES Registry Identity

NPI1861892853
Entity TypeIndividualFemale
Primary Taxonomy103TC1900X
Provider Legal NameDR. SANDRA SHALLCROSSCredential: PH.D., L.P.
Location Address701 PARK AVE, OUTPATIENT PSYCHIATRY S1Minneapolis, MN 55415-1623
Mailing Address701 Park AveMinneapolis, MN 55415-1623 · (612) 987-5212
Sole ProprietorNo
Enumeration DateAugust 27, 2014
Last NPPES UpdateJanuary 8, 2015
NPI 1861892853 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPsychologist · CounselingBehavioral Health & Social Service Providers
Taxonomy Code103TC1900X
License Licensed in MN · 5803
Definition
A psychologist who specializes in general practice and health service. It focuses on how people function both personally and in their relationships at all ages. Counseling psychology addresses the emotional, social, work, school and physical health concerns people may have at different stages in their lives, focusing on typical life stresses and more severe issues with which people may struggle as individuals and as a part of families, groups and organizations. Counseling psychologists help people with physical, emotional and mental health issues improve their sense of well-being, alleviate feelings of distress and resolve crises. They also provide assessment, diagnosis, and treatment of more severe psychological symptoms.
701 PARK AVE, Minneapolis, MN 55415

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. Sandra Shallcross Ph.d., L.p. 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 September 1, 2024 through September 1, 2026.

Opt-Out Effective DateSeptember 1, 2024
Opt-Out In Effect ThroughSeptember 1, 2026Opt-out affidavits renew automatically every two years unless cancelled

Other Providers at the Same Location NPPES 20

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

Psychiatry & Neurology (Psychiatry)
701 PARK AVE
MINNEAPOLIS, MN 55415
Emergency Medicine
701 PARK AVE
MINNEAPOLIS, MN 55415
Dentist (Oral and Maxillofacial Surgery)
701 PARK AVE
MINNEAPOLIS, MN 55415
Counselor (Professional)
701 PARK AVE
MINNEAPOLIS, MN 55415
Student in an Organized Health Care Education/Training Program
701 PARK AVE
MINNEAPOLIS, MN 55415
Emergency Medicine
701 PARK AVE
MINNEAPOLIS, MN 55415
Student in an Organized Health Care Education/Training Program
701 PARK AVE
MINNEAPOLIS, MN 55415
Student in an Organized Health Care Education/Training Program
701 PARK AVE
MINNEAPOLIS, MN 55415

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 Sandra Shallcross's NPI number?

The NPI number for Sandra Shallcross is 1861892853. It was assigned to this individual provider in the NPPES registry on August 27, 2014.

Where is Sandra Shallcross located?

Sandra Shallcross practices at 701 Park Ave Outpatient Psychiatry S1, Minneapolis, MN 55415. The listed phone number is (612) 987-5212.

What is Sandra Shallcross's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Counseling, with taxonomy code 103TC1900X.

Is Sandra Shallcross enrolled in Medicare?

No. Sandra Shallcross has opted out of Medicare through September 1, 2026. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out.

When was this NPI record last updated?

The NPPES record for Sandra Shallcross was last updated on January 8, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.