Doctor profile · Federal record

Dr. Tim Shannon, PSYD

Psychologist (CMS: Clinical Psychologist) · Normal, IL

  • NPI 1407956758
  • Accepts Medicare
  • 35 yrs in practice
  • Male
  • Group practice
  • No sanctions

Practice & contact

NPPES Updated May 11, 2026
Primary practice
405 Kays Dr Ste C
Normal, IL 617611979
(309) 664-3130
fax (309) 664-3528

Credentials & registration

NPPES · NUCC
NPI registered
September 2006 — 20 yrs on file
Profile last updated
May 9, 2011
Year of graduation
1991 — 35 yrs since
Specialty taxonomy
103T00000X — NUCC code
State license (1)
Illinois #071004783

Federal sanctions & exclusions

OIG LEIE Updated May 11, 2026

No sanctions, exclusions or revocations on file

Checked against OIG LEIE on NPI 1407956758. Last verified May 11, 2026.

Medicare procedures · 2023

Top services delivered

CMS Provider Utilization
Total services
172
Distinct HCPCS
3
Medicare allowed
$18,264
HCPCS Description Services Patients Avg allowed
90834 Psychotherapy, 45 minutes 124 39 $97
90791 Psychiatric diagnostic evaluation 28 28 $170
90832 Psychotherapy, 30 minutes 20 11 $73

In context: peer comparison

Among 1 peers in Normal Psychologist, average services per provider: 57. This provider delivers 3.0× the peer median.

Frequently asked questions

Auto-generated from federal data
What is Dr. Tim Shannon's medical specialty?
Dr. Tim Shannon practices Psychologist in Normal, IL.
Where does Dr. Tim Shannon practice?
Dr. Tim Shannon practices at 405 Kays Dr Ste C, Normal, IL 617611979. Office phone: 3096643130.
What is Dr. Tim Shannon's NPI?
Dr. Tim Shannon's National Provider Identifier (NPI) is 1407956758, issued by NPPES.
Does Dr. Tim Shannon accept Medicare assignment?
Yes. Dr. Tim Shannon accepts Medicare assignment, meaning Medicare-allowed amounts are accepted as full payment for covered services.
What procedures does Dr. Tim Shannon commonly perform?
Top Medicare-reported procedures in 2023: Psychotherapy (HCPCS 90834); Psychiatric diagnostic evaluation (HCPCS 90791); Psychotherapy (HCPCS 90832). Source: CMS Medicare Physician & Other Practitioners file.