KATHLEEN M SHANAHAN PHD
NPI 1942578174
Psychologist in Buffalo, NY

Active since December 02, 2011PECOS Enrolled
ELM AND CARLTON STREETS, BUFFALO, NY 14263(716) 845-2300 Get Directions Write a Review

NPPES record last updated: July 30, 2021. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Kathleen M Shanahan Phd NPPES

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

KATHLEEN M SHANAHAN PHD (NPI 1942578174) is an individual psychologist in Buffalo, New York, licensed in New York (015460) and active in the NPI registry since December 2011. She is enrolled in Medicare PECOS and maintains a secondary practice location in Buffalo.

NPPES Registry Identity

NPI1942578174
Entity TypeIndividualFemale
Primary Taxonomy103T00000X
Provider Legal NameKATHLEEN M SHANAHANCredential: PHD
Location AddressELM AND CARLTON STREETSBuffalo, NY 14263
Mailing Address18 Agassiz CirBuffalo, NY 14214-2601 · (716) 932-2629 · Fax (716) 884-0291
Sole ProprietorNo
Enumeration DateDecember 2, 2011
Last NPPES UpdateJuly 30, 2021
NPPES CertifiedJuly 30, 2021
✔ NPI 1942578174 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychologistBehavioral Health & Social Service Providers
Taxonomy Code103T00000X
License✔ Licensed in NY · 015460
Definition
A psychologist is an individual who is licensed to practice psychology which is defined as the observation, description, evaluation, interpretation, and modification of human behavior by the application of psychological principles, methods, and procedures, for the purpose of preventing or eliminating symptomatic, maladaptive, or undesired behavior and of enhancing interpersonal relationships, work and life adjustment, personal effectiveness, behavioral health, and mental health. The practice of psychology includes, but is not limited to, psychological testing and the evaluation or assessment of personal characteristics, such as intelligence, personality, abilities, interests, aptitudes, and neuropsychological functioning; counseling, psychoanalysis, psychotherapy, hypnosis, biofeedback, and behavior analysis and therapy; diagnosis and treatment of mental and emotional disorder or disability, alcoholism and substance abuse, disorders of habit or conduct, as well as of the psychological aspects of physical illness, accident, injury, or disability; and psycheducational evaluation, therapy, remediation, and consultation. Psychological services may be rendered to individuals, families, groups and the public.
ELM AND CARLTON STREETS, Buffalo, NY 14263

Secondary Practice Location 1

Location 118 Agassiz CirBuffalo, NY 14214-2601 · Phone (716) 932-2629 · Fax (716) 884-0291

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Kathleen M Shanahan Phd is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Medicare Billing Reassignment

Medicare enrollment records show Kathleen Shanahan reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Multi-Specialty
ELM AND CARLTON ST
Buffalo, NY 14263
  • Reassigned Medicare billing, New York enrollment
  • 602 clinicians in this Medicare group

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

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.

Internal Medicine
ELM AND CARLTON STREETS
BUFFALO, NY 14263
Nurse Practitioner
ELM AND CARLTON STREETS
BUFFALO, NY 14263
Pathology (Clinical Pathology/Laboratory Medicine)
ELM AND CARLTON STREETS
BUFFALO, NY 14263
Dentist (Prosthodontics)
ELM AND CARLTON STREETS
BUFFA;P, NY 14263
Nurse Practitioner
ELM AND CARLTON STREETS
BUFFALO, NY 14263
Physician Assistant
ELM AND CARLTON STREETS
BUFFALO, NY 14263
Physician Assistant (Medical)
ELM AND CARLTON STREETS
BUFFALO, NY 14263
Surgery (Surgical Oncology)
ELM AND CARLTON STREETS
BUFFALO, NY 14263

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 Kathleen Shanahan's NPI number?

The NPI number for Kathleen Shanahan is 1942578174. It was assigned to this individual provider in the NPPES registry on December 2, 2011.

Where is Kathleen Shanahan located?

Kathleen Shanahan practices at Elm And Carlton Streets, Buffalo, NY 14263. The listed phone number is (716) 845-2300.

What is Kathleen Shanahan's specialty?

The primary specialty registered for this NPI is Psychologist with taxonomy code 103T00000X.

Is Kathleen Shanahan enrolled in Medicare?

Yes. Kathleen Shanahan is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Kathleen Shanahan's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Kathleen Shanahan reassigns Medicare benefits to Roswell Park Cancer Institute (Buffalo, NY). The 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 Kathleen Shanahan's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Kathleen Shanahan was last updated on July 30, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.