NPIMap

Individual provider Active NPI

Shannon Limerick-Gnas, MA LIC PSYCHOLOGIST

  • Psychologist
  • Beaver, PA
National Provider Identifier
1619962008
Registry record updated Sep 2, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
PS006277L Issued in PA
Practice address
219 3Rd St
Beaver, PA 15009-2301
Phone
(724) 775-9150
Fax
(724) 775-9153
NPI assigned
Sep 13, 2005
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 2, 2009

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

Specialties & licenses 7

Specialty (taxonomy)CodeLicenseStatePrimary
Psychologist 103T00000X PS006277L PA Primary
Counseling Psychologist 103TC1900X
Clinical Child & Adolescent Psychologist 103TC2200X
Cognitive & Behavioral Psychologist 103TB0200X
Family Psychologist 103TF0000X
Adult Development & Aging Psychologist 103TA0700X
Clinical Psychologist 103TC0700X PS006277-L PA

Addresses

Primary practice location

219 3Rd St
Beaver, PA 15009-2301

Mailing address

219 3Rd St
Beaver, PA 15009-2301
Phone (724) 775-9150

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Master of Arts

State licenses

LicenseStateTypeSpecialty
PS006277LPAMDPsychologist
PS006277-LPAMDClinical Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Teladoc Health Medical Group, P.a. Psychologist Current Accepting new patients
A & a Psychological Service PC Psychologist Past Accepting new patients
Psychological Counseling and Consulting Services Psychologist Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: shannonlimerickgnas@tdh.allscriptsdirect.net

Organizations & group practices 3

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": "1126569600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1251849600000",
    "number": "1619962008",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "219 3RD ST",
            "city": "BEAVER",
            "state": "PA",
            "postal_code": "150092301",
            "telephone_number": "724-775-9150",
            "fax_number": "724-775-9153"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "219 3RD ST",
            "city": "BEAVER",
            "state": "PA",
            "postal_code": "150092301",
            "telephone_number": "724-775-9150",
            "fax_number": "724-775-9153"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LIMERICK-GNAS",
        "first_name": "SHANNON",
        "name_prefix": "Ms.",
        "credential": "MA LIC PSYCHOLOGIST",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-09-13",
        "last_updated": "2009-09-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "PA",
            "license": "PS006277L",
            "primary": true
        },
        {
            "code": "103TC1900X",
            "taxonomy_group": "",
            "desc": "Psychologist, Counseling",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "103TC2200X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical Child & Adolescent",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "103TB0200X",
            "taxonomy_group": "",
            "desc": "Psychologist, Cognitive & Behavioral",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "103TF0000X",
            "taxonomy_group": "",
            "desc": "Psychologist, Family",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "103TA0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Adult Development & Aging",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "PA",
            "license": "PS006277-L",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Beaver, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 2, 2009; 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.