Shannon M McCarrick, PHD

Primary specialty

PsychologistTaxonomy code 103T00000X

License

3725 Issued in WI

Practice address

5131 E Cheryl Pkwy # W323
Fitchburg, WI 53711-7700

Phone

(412) 657-0150

NPI assigned

Oct 10, 2019

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

Interoperability endpoints

• Direct secure messaging: smccarrick949360@direct.uwhealth.org

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1570665600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1724112000000",
    "number": "1053953190",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5131 E CHERYL PKWY # W323",
            "city": "FITCHBURG",
            "state": "WI",
            "postal_code": "537117700",
            "telephone_number": "412-657-0150"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5131 E CHERYL PKWY # W323",
            "city": "FITCHBURG",
            "state": "WI",
            "postal_code": "537117700",
            "telephone_number": "412-657-0150"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCCARRICK",
        "first_name": "SHANNON",
        "middle_name": "M",
        "credential": "PHD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-10-10",
        "last_updated": "2024-08-20",
        "certification_date": "2024-08-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "WI",
            "license": "3725",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Laura Maursetter, D.O.
• Mark R McCabe, MD
• Maurine Emmalee McCabe, RN
• Sarah Ann McCaffrey, CCC-SLP
• Hunter McCaig, OTD
• Kelleen Y McClain, DDS
• Katherine A McCreary, MD
• Daniel Joel McCulley, MD
• Dorida McFowler
• Kaye McGrath

• Psychologist in Fitchburg, WI
• Providers in Fitchburg, WI by specialty
• Psychologist in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 20, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.