Active NPI
Shannon Patterson PHD LLC
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Madison, WI
National Provider Identifier
1114822152
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Legal business name
- SHANNON PATTERSON PHD LLC
- Practice address
- 1882 E Main St Ste 202
Madison, WI 53704-5288 - Phone
- (608) 515-8673
- Fax
- (353) 200-9796
- NPI assigned
- Oct 9, 2026
- Last updated
- Oct 14, 2026
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Shannon Lynn Patterson, PHD
- Title
- Licensed Psychologist
- Phone
- (608) 495-0814
Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Clinic/Center (Including Community Mental Health Center) | 261QM0801X | NU | Primary |
Addresses
Primary practice location
1882 E Main St Ste 202
Madison, WI 53704-5288
Mailing address
1882 E Main St Ste 202
Madison, WI 53704-5288
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Health Psychologist
- Madison, WI
- NPI 1871079848
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1791504000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1791936000000",
"number": "1114822152",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1882 E MAIN ST STE 202",
"city": "MADISON",
"state": "WI",
"postal_code": "537045288"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1882 E MAIN ST STE 202",
"city": "MADISON",
"state": "WI",
"postal_code": "537045288",
"telephone_number": "608-515-8673",
"fax_number": "353-200-9796"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SHANNON PATTERSON PHD LLC",
"organizational_subpart": "NO",
"enumeration_date": "2026-10-09",
"last_updated": "2026-10-14",
"certification_date": "2026-10-14",
"status": "A",
"authorized_official_last_name": "PATTERSON",
"authorized_official_first_name": "SHANNON",
"authorized_official_middle_name": "LYNN",
"authorized_official_title_or_position": "LICENSED PSYCHOLOGIST",
"authorized_official_telephone_number": "608-495-0814",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "PHD"
},
"taxonomies": [
{
"code": "261QM0801X",
"taxonomy_group": "",
"desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Madison, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 14, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.