Shannon Elizabeth Marthillo, PH.D.

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

027415 Issued in NY

Practice address

1175 Pittsford Victor Rd Ste 125
Pittsford, NY 14534-3845

Phone

(585) 201-8451

NPI assigned

Aug 4, 2020

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)

Not enrolled

Credentials

Doctor of Philosophy

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

{
    "created_epoch": "1596499200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1771459200000",
    "number": "1205446408",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1175 PITTSFORD VICTOR RD STE 125",
            "address_2": "STE 125",
            "city": "PITTSFORD",
            "state": "NY",
            "postal_code": "145343845",
            "telephone_number": "585-201-8650"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1175 PITTSFORD VICTOR RD STE 125",
            "city": "PITTSFORD",
            "state": "NY",
            "postal_code": "145343845",
            "telephone_number": "585-201-8451"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARTHILLO",
        "first_name": "SHANNON",
        "middle_name": "ELIZABETH",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-08-04",
        "last_updated": "2026-02-19",
        "certification_date": "2026-02-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "NY",
            "license": "027415",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Andrew Cyrus Marcy, NP
• Margaret Figueroa, LCSW, P.C.
• Dylan S Mariah, RN, LMHC
• Mariane Bafile, DMD, PLLC
• Mark Conners DDS PLLC
• Kristin Masi, LCSW
• Nyle Qavi Masoom
• Matthew Schwedfeger DDS, PC
• Annaliese Mauel
• Dennis Lee May, M.D.

• Clinical Psychologist in Pittsford, NY
• Providers in Pittsford, NY by specialty
• Clinical Psychologist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 19, 2026; 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.