Active NPI
Shanon Lee Harlow, PSY.D.
- Clinical Psychologist
- St. Louis, MO
National Provider Identifier
1730375759
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- 2007028046
- Practice address
- 11144 Tesson Ferry Rd Ste 101
St. Louis, MO 63123-6965 - Phone
- (314) 729-1200
- Fax
- (314) 729-1201
- NPI assigned
- Sep 24, 2007
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | 2007028046 | MO | Primary |
Addresses
Primary practice location
11144 Tesson Ferry Rd Ste 101
St. Louis, MO 63123-6965
Mailing address
11144 Tesson Ferry Rd Ste 101
St. Louis, MO 63123-6965
Phone (314) 729-1200
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MO
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Clinical Psychologist
- Education
- Other, 2007
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
12801 Flushing Meadows Dr
Suite 120
Saint Louis, MO 63131-1829
Phone (314) 729-1200
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
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.
-
- Clinical Psychologist
- Saint Louis, MO
- NPI 1336519206
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1190592000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1659312000000",
"number": "1730375759",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11144 TESSON FERRY RD STE 101",
"city": "ST. LOUIS",
"state": "MO",
"postal_code": "631236965",
"telephone_number": "314-729-1200",
"fax_number": "314-729-1201"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11144 TESSON FERRY RD STE 101",
"city": "ST. LOUIS",
"state": "MO",
"postal_code": "631236965",
"telephone_number": "314-729-1200",
"fax_number": "314-729-1201"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HARLOW",
"first_name": "SHANON",
"middle_name": "LEE",
"name_prefix": "Dr.",
"credential": "PSY.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-09-24",
"last_updated": "2022-08-01",
"certification_date": "2022-08-01",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "MO",
"license": "2007028046",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in St. Louis, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 1, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.