Shannon Kay Garrity, PSY.D.

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

4716 Issued in MN

Practice address

2388 University Ave W
202
Saint Paul, MN 55114-1769

Phone

(612) 703-8589

NPI assigned

Oct 19, 2007

Last updated

Jun 18, 2014By 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 5

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1192752000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1403049600000",
    "number": "1912196569",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2388 UNIVERSITY AVE W",
            "address_2": "202",
            "city": "SAINT PAUL",
            "state": "MN",
            "postal_code": "551141769",
            "telephone_number": "612-703-8589"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2388 UNIVERSITY AVE W",
            "address_2": "202",
            "city": "SAINT PAUL",
            "state": "MN",
            "postal_code": "551141769",
            "telephone_number": "612-703-8589"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GARRITY",
        "first_name": "SHANNON",
        "middle_name": "KAY",
        "name_prefix": "Dr.",
        "credential": "PSY.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-10-19",
        "last_updated": "2014-06-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TB0200X",
            "taxonomy_group": "",
            "desc": "Psychologist, Cognitive & Behavioral",
            "state": "MN",
            "license": "4716",
            "primary": false
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "MN",
            "license": "4716",
            "primary": true
        },
        {
            "code": "103TC1900X",
            "taxonomy_group": "",
            "desc": "Psychologist, Counseling",
            "state": "MN",
            "license": "4716",
            "primary": false
        },
        {
            "code": "103TE1100X",
            "taxonomy_group": "",
            "desc": "Psychologist, Exercise & Sports",
            "state": "MN",
            "license": "4716",
            "primary": false
        },
        {
            "code": "103TP2701X",
            "taxonomy_group": "",
            "desc": "Psychologist, Group Psychotherapy",
            "state": "MN",
            "license": "4716",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jesse Garrett, L. AC.
• Willie Bernard Garrett, MS-LP, ED.D.
• Jennifer Garrido Santos, MA, LMFT
• Deborah Garrido, CNP
• Ellen E. Garrity, MA CCC-SLP
• Colleen (Kelley) Garry Marschall, LPCC
• Geoffrey Byron Garwick, PH. D
• Edmundo Garza IV, PTA
• Selena Mireya Garza, MSW
• Raji Badane Gashu

• Clinical Psychologist in Saint Paul, MN
• Providers in Saint Paul, MN by specialty
• Clinical Psychologist in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 18, 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.