NPI age
19 years
Enumerated 2006-09-21
● Active
Type 1 · Individual
Kelly Shannon, PHD
Shannon is 1 of 401 psychologist providers in San Antonio and 1 of 3401 in Texas.
Primary specialty
Psychologist
Licensed in
TX
1 state
Status
Active
No deactivations on record
Last NPPES update
2009-03-24
Source: monthly bulk 2026-05
Sole proprietor
Yes
Solo practice on file
How this provider compares
Across 3401 active psychologist providers in Texas.
NPI age
19 years
↑ 4 yr above median (15 yr)
State licenses
1 state
7% of peers hold multiple states
Subspecialties
0
26% of peers hold subspecialties
NPI lifetime · 2006 → 2026
2006-09Enumerated in NPPES
2006
2026
Where they practice
Practice location
102 E Mulberry Ave
San Antonio, TX 782122946
Mailing address
Po Box 120041
San Antonio, TX 782129241
Specialties
-
Psychologist PrimaryA 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...
Identifiers
| Type | Value | Notes |
|---|---|---|
| 01 (TX) | H00088RY01 | BCBS - TX |
| 05 (TX) | 035931704 |
Practice context
Solo or small practice. No other active providers share this practice address in NPPES. This provider is listed as a sole proprietor.
Recently enumerated nearby: 1 new psychologist provider has been added in San Antonio in the last 180 days.
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- Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
- Check the state license is currently active.State licensing boards publish current status; NPPES does not.
- Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.