Individual provider Active NPI

Shannon Wilson Cribbs, PSY.D.

  • Psychologist
  • Pittsburgh, PA
National Provider Identifier
1881926442
Registry record updated Nov 26, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
PA017708 Issued in PA
Practice address
615 Washington Rd
Suite 500
Pittsburgh, PA 15228-1901
Phone
(412) 343-6416
Fax
(412) 343-6418
NPI assigned
Feb 8, 2010
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 26, 2014

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X PC005423 PA
Psychologist 103T00000X PA017708 PA Primary
Clinical Neuropsychologist 103G00000X PA017708 PA
Counseling Psychologist 103TC1900X PA017708 PA

Addresses

Primary practice location

615 Washington Rd
Suite 500
Pittsburgh, PA 15228-1901

Mailing address

3792 Logans Ferry Rd Apt D
Pittsburgh, PA 15239-3913
Phone (412) 303-9416

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

State licenses

LicenseStateTypeSpecialty
PC005423PAMDProfessional Counselor
PA017708PAMDPsychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Center for Pediatric Neuropsychology, PLLC Past Accepting new patients

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": "1265587200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1416960000000",
    "number": "1881926442",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3792 LOGANS FERRY RD APT D",
            "city": "PITTSBURGH",
            "state": "PA",
            "postal_code": "152393913",
            "telephone_number": "412-303-9416"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "615 WASHINGTON RD",
            "address_2": "SUITE 500",
            "city": "PITTSBURGH",
            "state": "PA",
            "postal_code": "152281901",
            "telephone_number": "412-343-6416",
            "fax_number": "412-343-6418"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CRIBBS",
        "first_name": "SHANNON",
        "middle_name": "WILSON",
        "name_prefix": "Dr.",
        "credential": "PSY.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-02-08",
        "last_updated": "2014-11-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "PA",
            "license": "PC005423",
            "primary": false
        },
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "PA",
            "license": "PA017708",
            "primary": true
        },
        {
            "code": "103G00000X",
            "taxonomy_group": "",
            "desc": "Clinical Neuropsychologist",
            "state": "PA",
            "license": "PA017708",
            "primary": false
        },
        {
            "code": "103TC1900X",
            "taxonomy_group": "",
            "desc": "Psychologist, Counseling",
            "state": "PA",
            "license": "PA017708",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pittsburgh, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 26, 2014; 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.