DR. SHANNON K. DUNLAP PHD NPI 1194950857

NPI Information

  • NPI: 1194950857
  • Provider Name: DR. SHANNON K. DUNLAP, PHD
  • Classification: Psychologist - 103TC0700X
  • Specialization: Clinical
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 610 RIDLEY AVE
    LAGRANGE, GA
    ZIP 30240
  • Phone: (706) 884-5050

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NPI Details

DR. Shannon K. Dunlap, PHD is a clinical psychologist in Lagrange, GA with 17 years of experience. The provider is 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. DR. Shannon K. Dunlap, PHD NPI is 1194950857. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

610 RIDLEY AVE
LAGRANGE, GA
ZIP 30240-236
Phone: (706) 884-5050
Fax: (706) 884-5056

The NPI 1194950857 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment.

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • Psychotherapy, 1 hour (HCPCS:90837)
  • Psychiatric services complicated by communication factor (HCPCS:90785)
  • Psychiatric diagnostic evaluation (HCPCS:90791)
  • Evaluation of psychological test, first hour (HCPCS:96130)

The enumeration date for this NPI number is 5/26/2009 and was last updated on 2/3/2016.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1101YA0400XCounselorAddiction (Substance Use Disorder)202201GEORGIANo
2101YP2500XCounselorProfessionalLPC004718GEORGIANo
3103TC0700XPsychologistClinicalPSY003497GEORGIAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1202G682008MEDICARE UPINGEORGIA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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