Shawn Shannon-Missal, LCAT-P

Primary specialty

Art TherapistTaxonomy code 221700000X

License

P129987 Issued in NY

Practice address

1169 Pittsford Victor Rd Ste 250
Pittsford, NY 14534-3809

Phone

(585) 314-2978

NPI assigned

Nov 19, 2015

Last updated

Aug 8, 2024By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

State licenses

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

{
    "created_epoch": "1447891200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1723075200000",
    "number": "1396119871",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "112 NETTLECREEK RD",
            "city": "FAIRPORT",
            "state": "NY",
            "postal_code": "144503056",
            "telephone_number": "585-314-2978"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1169 PITTSFORD VICTOR RD STE 250",
            "city": "PITTSFORD",
            "state": "NY",
            "postal_code": "145343809",
            "telephone_number": "585-314-2978"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHANNON-MISSAL",
        "first_name": "SHAWN",
        "credential": "LCAT-P",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-11-19",
        "last_updated": "2024-08-08",
        "certification_date": "2024-08-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "221700000X",
            "taxonomy_group": "",
            "desc": "Art Therapist",
            "state": "NY",
            "license": "P129987",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• James A. Seab Jr., M.D.
• Posy J Seifert, D.O.
• Rahul Sengupta, M.D.
• Jodi Seyfried
• Bipin C Shah, M.D.
• Shuman Physical Therapy Associates, PC (Lattimore of Greater Pittsford Physical Therapy)
• Charles Shuman, DPT
• Whitney Sienkiewicz
• Howard Lee Silver, D.D.S.
• Adam Simning, MD, PHD

• Art Therapist in Pittsford, NY
• Providers in Pittsford, NY by specialty
• Art Therapist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 8, 2024; 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.