SHANNON IVY HARRIS PSYD NPI 1689492175

NPI Information

  • NPI: 1689492175
  • Provider Name: SHANNON IVY HARRIS, PSYD
  • Classification: Psychologist - 103TB0200X
  • Specialization: Cognitive & Behavioral
  • Entity Type: Individual
  • Address: 355 W 16TH ST
    STE 2500
    INDIANAPOLIS, IN
    ZIP 46202
  • Phone: (317) 963-7204

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NPI Details

Shannon Ivy Harris, PSYD is a cognitive and behavioral psychologist in Indianapolis, IN with 4 years of experience. The provider is a psychologist who reflects an experimental-clinical approach distinguished by use of principles of human learning and development and theories of cognitive processing to promote meaningful change in maladaptive human behavior and thinking. Shannon Ivy Harris, PSYD NPI is 1689492175. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

355 W 16TH ST
STE 2500
INDIANAPOLIS, IN
ZIP 46202-280
Phone: (317) 963-7204
Fax: (317) 963-7211

The enumeration date for this NPI number is 10/2/2024 and was last updated on 2/11/2025.

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
1103TC0700XPsychologistClinical20043698AINDIANANo
2103TH0100XPsychologistHealth Service20043698BINDIANANo
3103TB0200XPsychologistCognitive & Behavioral20043698AINDIANAYes

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
1300098450MEDICAIDINDIANA
21104565401OTHERINDIANAANTHEM PTAN

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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