Type 1 · Individual ✓ Active NPI ✓ Valid NPI checksum

Tim Shannon, PSYD

Psychologist in Normal, IL · enumerated 2006 · practices at Mental Wellness Center Inc.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1407956758

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Registry record

Entity type Individual (Type 1)

Name Tim Shannon

Credential PSYD

Sex Male

Practice address 405 Kays Dr Ste C, Normal, IL, 61761

Phone (309) 664-3130

Fax (309) 664-3528

Enumeration date Sep 25, 2006

Last updated in NPPES May 9, 2011

Taxonomy & licenses

103T00000X Psychologist Behavioral Health & Social Service Providers · License 071004783 (IL) Primary

PSYD · Doctor of Psychology: A clinical doctorate in psychology focused on professional practice. About the PSYD credential

Other identifiers

Identifier	Type	State	Issuer
IL2613	Other	IL	MEDICARE GROUP PTAN
DP5951	Other	-	RR MEDICARE GROUP
P00820811	Other	-	RR MEDICARE INDIVIDUAL

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

What specialty is Tim Shannon?

Tim Shannon is registered in NPPES with the primary taxonomy of Psychologist. The taxonomy code describes the provider's classification and area of specialization for claims and credentialing.

Is this the official NPI registry?

No. NPI Portal is a private site built on public CMS NPPES data. The official registry is npiregistry.cms.hhs.gov, operated by CMS.

Other providers at this practice address

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Robert Hamilton Psychiatry Physician · Normal, IL NPI 1164431904 Cheri Carroll Clinical Social Worker · Normal, IL NPI 1083747356 Christopher Cashen Professional Counselor · Normal, IL NPI 1013037621 Rachel Simon Professional Counselor · Normal, IL NPI 1023237567 Jennifer Bovee Mental Health Counselor · Normal, IL NPI 1558596833 Mental Wellness Center Inc Professional Counselor · Normal, IL NPI 1629596812 Jillian Estes Clinical Social Worker · Normal, IL NPI 1568198562 Hailey Hampton Clinical Social Worker · Normal, IL NPI 1982391512

Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2011-05-09.