Individual provider Active NPI

Ivan Shannon Chee, PSY.D.

  • Clinical Psychologist
  • Paris, TX
National Provider Identifier
1356211163
Registry record updated Nov 6, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
17864 Issued in TX
Practice address
3605 NE Loop 286 Ste 100
Paris, TX 75460-4980
Phone
(888) 738-9919
Fax
(888) 738-9920
NPI assigned
Nov 6, 2025
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 6, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X 17864 TX Primary

Addresses

Primary practice location

3605 NE Loop 286 Ste 100
Paris, TX 75460-4980

Mailing address

3605 NE Loop 286 Ste 100
Paris, TX 75460-4980
Phone (888) 738-9919

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20251218004037 TX Practitioner - Clinical Psychologist 1052806841 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 2022
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

3605 NE Loop
286 Suite 200
Paris, TX 75460-5091

PO Box
Suite 73
Pattonville, TX 75468

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
39520TXMDDentist

Practice roles

OrganizationSpecialtyStatusNew patients
Ryan Cooper Clinical CurrentSince Dec 1, 2025 Accepting new patients

Locations

3605 NE Loop 286
Ste 200
Paris, TX 75460
Phone (903) 715-5809

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1762387200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1762387200000",
    "number": "1356211163",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3605 NE LOOP 286 STE 100",
            "city": "PARIS",
            "state": "TX",
            "postal_code": "754604980",
            "telephone_number": "888-738-9919",
            "fax_number": "888-738-9920"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3605 NE LOOP 286 STE 100",
            "city": "PARIS",
            "state": "TX",
            "postal_code": "754604980",
            "telephone_number": "888-738-9919",
            "fax_number": "888-738-9920"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHEE",
        "first_name": "IVAN",
        "middle_name": "SHANNON",
        "name_prefix": "Dr.",
        "credential": "PSY.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2025-11-06",
        "last_updated": "2025-11-06",
        "certification_date": "2025-11-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "TX",
            "license": "17864",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Paris, TX

Sources for this page

Verify at the official NPI Registry.