DR. SHANNON MONG PSY.D.
NPI 1992725451
Psychologist - Clinical in Corvallis, OR

Q: What is Shannon Mong's NPI number?

The NPI number for Shannon Mong is 1992725451. It was assigned to this individual provider in the NPPES registry on July 20, 2006.

Q: What is Shannon Mong's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Shannon Mong was last updated on July 24, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 months 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 July 20, 2006PECOS Enrolled

922 NW CIRCLE BLVD # 160-222, CORVALLIS, OR 97330(415) 914-4276 Get Directions Write a Review

NPPES record last updated: July 24, 2025. Verified against the NPPES registry weekly; last sync: October 25, 2026.

On this page

About Dr. Shannon Mong Psy.d. NPPES

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

DR. SHANNON MONG PSY.D. (NPI 1992725451) is an individual clinical provider in Corvallis, Oregon, licensed in California (20722) and active in the NPI registry since July 2006. She is enrolled in Medicare PECOS and maintains a secondary practice location in Portland.

NPPES Registry Identity

NPI1992725451

Entity TypeIndividualFemale

Primary Taxonomy103TC0700X

Provider Legal NameDR. SHANNON MONGCredential: PSY.D.

Location Address922 NW CIRCLE BLVD # 160-222Corvallis, OR 97330-1483

Mailing Address922 Nw Circle Blvd Unit 160-222Corvallis, OR 97330-1483 · (415) 914-4276

Phone(415) 914-4276

Sole ProprietorYes

Enumeration DateJuly 20, 2006

Last NPPES UpdateJuly 24, 2025

NPPES CertifiedJuly 24, 2025

✔ NPI 1992725451 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPsychologist · ClinicalBehavioral Health & Social Service Providers

Taxonomy Code103TC0700X

Licenses✔ Licensed in CA · 20722✔ Licensed in OR · 3803

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.

Also ListedPsychologist · Clinical Child & AdolescentTaxonomy 103TC2200X · License 20722 (CA), 3803 (OR)

922 NW CIRCLE BLVD # 160-222, Corvallis, OR 97330

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Secondary Practice Location 1

Location 19220 SW Barbur BlvdPortland, OR 97219-5428 · Phone (415) 914-4276

Other Identifiers 2

OtherPSY20722CA · Psychologist License

OtherPSY3803OR · Psychologist License

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include PacificSource Health Plans.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Shannon Mong Psy.d. 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 Shannon Mong reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Grow Healthcare Group PC

506 mi

Mental Health

99 S ALMADEN BLVD STE 600
San Jose, CA 95113

Reassigned Medicare billing, California enrollment
3,139 clinicians in this Medicare group

NPI 1154994846 (408) 402-4385

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

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 97330 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

$166.64 typical visit price

range $54.96 – $166.64

Typical copayment $41.66 (range $13.74 – $41.66)

Most-billed visit code 99205

Established Patient

$97.16 typical visit price

range $17.68 – $136.19

Typical copayment $24.29 (range $4.42 – $34.04)

Most-billed visit code 99214

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 Mong's NPI number?

The NPI number for Shannon Mong is 1992725451. It was assigned to this individual provider in the NPPES registry on July 20, 2006.

Where is Shannon Mong located?

Shannon Mong practices at 922 NW Circle Blvd # 160-222, Corvallis, OR 97330. The listed phone number is (415) 914-4276.

What is Shannon Mong's specialty?

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

Is Shannon Mong enrolled in Medicare?

Yes. Shannon Mong is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Shannon Mong's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Shannon Mong reassigns Medicare benefits to Grow Healthcare Group PC (San Jose, CA). 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 Shannon Mong's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Shannon Mong accept?

Health plans from PacificSource Health Plans list Shannon Mong as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Shannon Mong was last updated on July 24, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 months 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.