Individual provider Active NPI

Shannon Cronn, M.ED., M.A.

  • School Psychologist
  • Scottsdale, AZ
National Provider Identifier
1063658094
Registry record updated Dec 22, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
School PsychologistTaxonomy code 103TS0200X
License
1359374 Issued in AZ
Practice address
10101 E Thompson Peak Pkwy
Scottsdale, AZ 85255-3300
Phone
(480) 484-1507
Fax
(480) 484-1501
NPI assigned
Dec 22, 2008
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 22, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
School Psychologist 103TS0200X 1359374 AZ Primary

Addresses

Primary practice location

10101 E Thompson Peak Pkwy
Scottsdale, AZ 85255-3300

Mailing address

4554 E Villa Maria Dr
Phoenix, AZ 85032-1581
Phone (480) 221-9208

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Master of Arts, Master of Education

State licenses

LicenseStateTypeSpecialty
1359374AZMDSchool Psychologist

NPI Registry JSON

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

{
    "created_epoch": "1229904000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1229904000000",
    "number": "1063658094",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4554 E VILLA MARIA DR",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850321581",
            "telephone_number": "480-221-9208"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10101 E THOMPSON PEAK PKWY",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852553300",
            "telephone_number": "480-484-1507",
            "fax_number": "480-484-1501"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CRONN",
        "first_name": "SHANNON",
        "credential": "M.ED., M.A.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-12-22",
        "last_updated": "2008-12-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TS0200X",
            "taxonomy_group": "",
            "desc": "Psychologist, School",
            "state": "AZ",
            "license": "1359374",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Scottsdale, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 22, 2008; 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.