DR. SHANNON BENNETT (NPI# 1053852954) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1053852954 |
| Entity Type | Individual |
| Full Name | DR. SHANNON BENNETT |
| Credential | PH.D. |
| Practice Address |
715 W Gaines St Tallahassee FL 32306-1603 |
| Practice Telephone | 8506449926 |
| Practice Fax Number | 8506446591 |
| Mailing Telephone | 8506449926 |
| Mailing Fax Number | 8506446591 |
| Enumeration Date | 2017-03-13 |
| Last Update Date | 2017-03-13 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103T00000X | Psychologist | PY 9086 | FL | Behavioral Health & Social Service Providers |
| N | 103TS0200X |
Psychologist Specialization: School |
SS 1235 | FL | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891095766 | Shannon Bennett | Counselor | 5111 Wornall Rd Apt 2, Kansas City, MO 64112-2934 | 2010-10-26 |
| 1396076477 | Shannon Louise Bennett | Midwife | 2207 Rochelle Ln, West Richland, WA 99353-9505 | 2010-01-29 |
| 1740292465 | Shannon Strickland Bennett | Speech-Language Pathologist | 2976 Us Highway 84, Blackshear, GA 31516-4601 | 2006-08-12 |
| 1366925455 | Shannon Renee Bennett | Counselor | 1102 S Raymond Rd, Spokane Valley, WA 99206-3534 | 2018-09-13 |
| 1114410867 | Shannon Bennett | Behavior Technician | 8200 Georgia St, Merrillville, IN 46410-6227 | 2018-06-07 |
| 1073012324 | Shannon Colleen Bennett | Naturopath | 781 Kenmoor Ave Se Ste C, Grand Rapids, MI 49546-8624 | 2018-02-01 |
| 1871909218 | Shannon Bennett | Student in an Organized Health Care Education/Training Program | 670r Massachusetts Ave, Arlington, MA 02476-5003 | 2014-07-07 |
| 1992047401 | Shannon Bennett | Nurse Practitioner | 2501 Westown Pkwy, Suite 1101, West Des Moines, IA 50266-1427 | 2013-03-22 |
| 1881994317 | Shannon Marie Bennett | Psychologist | 535 E 68th St, New York, NY 10065-4870 | 2010-11-01 |
| 1881836203 | Shannon Marie Bennett | Pediatrics | 22 Bramhall St, Portland, ME 04102-3134 | 2009-03-31 |
| Street Address |
715 W GAINES ST |
| City | TALLAHASSEE |
| State | FL |
| Zip Code | 32306-1603 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437663341 | Amber Farrington | Psychologist | 715 W Gaines St, Tallahassee, FL 32304-4309 | 2017-11-30 |
| 1477088227 | Lauren Hutto | Psychologist | 715 W Gaines St, Tallahassee, FL 32306-1603 | 2017-04-28 |
| 1790216737 | Anne Selvey | Psychologist | 715 W Gaines St, Tallahassee, FL 32306-1603 | 2017-03-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083004576 | Brian Christopher Baldwin | Specialist/Technologist | 403 Stadium Dr. West, Room D1200, Tallahassee, FL 32306 | 2015-02-04 |
| 1679775738 | Christienne P Alexander | Family Medicine | 1115 W Call St Suite 3210-a, Tallahassee, FL 32306 | 2007-06-01 |
| 1376624585 | Debra Katz | Speech-Language Pathologist | 107 Regional Rehab, Florida State University, Tallahassee, FL 32306 | 2006-10-17 |
| 1215027685 | Catherine Vickers Johnson | Audiologist | 107 Regional Rehabiliation Center, Florida State University, Tallahassee, FL 32306 | 2006-10-13 |
| 1891885356 | Selena Brown Snowden | Audiologist | 107 Regional Rehabilitation Center, Florida State University Speech and Hearing Clinic, Tallahassee, FL 32306 | 2006-10-13 |
| 1831613058 | Christina Jones | Nurse Practitioner | 960 Learning Way, Tallahassee, FL 32306 | 2017-07-30 |
| 1376935734 | Iraida C Miller | Nurse Practitioner | 960 Learning Way, Tallahassee, FL 32306 | 2015-02-23 |
| 1295989762 | Erica L Mays | Pharmacist | 137 Collegiate Way - Fsu/tshc, Tallahassee, FL 32306 | 2008-11-11 |
| 1710929237 | Virginia P Cardenas | Nurse Practitioner | 960 Learning Way, Tallahassee, FL 32306 | 2006-06-11 |
| 1699334300 | Calogero D'anna | Dentist | 960 Learning Way #3400, Tallahassee, FL 32306-0001 | 2019-06-07 |
| Find all providers in zip 32306 | ||||
| Taxonomy Code | 103T00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| 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. |
| Notes: Source: American Psychological Association [1/1/2007: modified definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134731367 | North Florida Neuropsychology, LLC | Psychologist | 1614 Mahan Center Blvd Ste 104, Tallahassee, FL 32308-5475 | 2020-08-19 |
| 1932697844 | Angela Canto | Psychologist | 403 E Park Ave, Tallahassee, FL 32301-1515 | 2018-04-26 |
| 1235676602 | Chamomile Psychology, Pllc | Psychologist | 1201 Hays St Ste 115, Tallahassee, FL 32301-2615 | 2017-01-24 |
| 1568844793 | Holly Schilling | Psychologist | 2989 Mahan Drive, Tallahassee, FL 32308 | 2015-06-24 |
| 1912326117 | William Oglesby Jr. | Psychologist | 1640 Metropolitan Cir Ste 1, Tallahassee, FL 32308-3731 | 2014-04-15 |
| 1578990248 | Justin Clary | Psychologist | 1203 Governors Square Blvd, Tallahassee, FL 32301 | 2013-09-26 |
| 1225374796 | Lillian B. Kaye | Psychologist | 618 Mcdonnell Dr, Tallahassee, FL 32310-4808 | 2013-01-02 |
| 1811245806 | Neico Shalon Slater | Psychologist | 1000 W Tharpe St Ste 100, Tallahassee, FL 32303-5374 | 2012-08-22 |
| 1730463092 | Leigh R Graves | Psychologist | 1414 Lloyds Cove Rd, Tallahassee, FL 32312-9687 | 2011-10-05 |
| 1831340819 | Adult Learning Evaluation Center | Psychologist | 1114 West Call Street, 214 Stone Building, Florida State University, Tallahassee, FL 32306-4453 | 2008-10-08 |
| Find all providers in TALLAHASSEE | ||||
| City | TALLAHASSEE |
| Zip Code | 32306 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.