Shannon Anastasiadis Pmhnp-BC LLC

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

Legal business name

SHANNON ANASTASIADIS PMHNP-BC LLC

Practice address

1827 NE 44TH Ave Ste 315
Portland, OR 97213-1467

Phone

(503) 735-5230

NPI assigned

Mar 24, 2026

Organization subpart

No

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

Authorized official

Name

Shannon Anastasiadis, PHMNP-BCNPI 1912050360

Title

Owner

Phone

(503) 735-5230

Specialties & licenses 1

Addresses

Other names 1

• Anastasiadis Mental Health Doing business as

Medicare fee-for-service enrollment

Enrolled in OR

Enrollment records 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Shannon Kathleen Anastasiadis, NP

  • Psychiatric/Mental Health Nurse Practitioner
  • Portland, OR
  • NPI 1912050360
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1774310400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1774310400000",
    "number": "1255279840",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5415 NE 38TH AVE",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972118009"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1827 NE 44TH AVE STE 315",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972131467",
            "telephone_number": "503-735-5230"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHANNON ANASTASIADIS PMHNP-BC LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-03-24",
        "last_updated": "2026-03-24",
        "certification_date": "2026-03-24",
        "status": "A",
        "authorized_official_last_name": "ANASTASIADIS",
        "authorized_official_first_name": "SHANNON",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "503-735-5230",
        "authorized_official_credential": "PHMNP-BC"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Anastasiadis Mental Health",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Lorna Jean Shanks, MD
• Sorenne E Shanley-Beaudry
• Chloe M Shanley, MD
• Kelsea Shanley, RDN
• Amanda Jo Shannahan
• Angela Shannon
• Debra Anne Shannon, ARNP
• Evelyn Shannon, LMT
• Frederick Shannon
• Gabriel Shannon, LPC

• Psychiatric/Mental Health Nurse Practitioner in Portland, OR
• Providers in Portland, OR by specialty
• Psychiatric/Mental Health Nurse Practitioner in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 24, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.