Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Dr. Shannon Connell, PHD

Individual provider Clinical Psychologist · NPI 1366685141

Dr. Shannon Connell, PHD is a Clinical Psychologist in Holland, Michigan. Qualified in 2019, 7 years ago. Practices as a sole proprietor, works from 2 locations and accepts Medicare assignment. Licensed in Massachusetts and Michigan.

Years since qualifying
7
Licensed in
MA, MI
In the registry since
2009
Specialties on file
5
What do these letters mean?
PHD — Doctor of Philosophy
A research doctorate. In healthcare it usually sits alongside a clinical licence.

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Practice location Address checks out

36 W 8th St Ste 200
Holland, MI 49423-2702
Phone: (616) 396-4846
Fax: (616) 396-4846
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 36 W 8th St, Holland, MI 49423-2701 — (616) 396-4846

Specialties & licences

Clinical Psychologist (primary) Taxonomy 103TC0700X · Licence 6301018872 (MI)
Counseling Psychologist Taxonomy 103TC1900X · Licence 6301013914 (MI)
Mental Health Counselor Taxonomy 101YM0800X · Licence 6301013914 (MI)
Clinical Psychologist Taxonomy 103TC0700X · Licence 6301013914 (MI)
Clinical Psychologist Taxonomy 103TC0700X · Licence 6301013914 (MA)

Record details

NPI number1366685141
Entity typeIndividual (Type 1)
GenderFemale
Credentials PHD
Sole proprietorYes
NPI enumeratedApril 9, 2009
Last updated in NPPESJuly 28, 2021
Certification dateJuly 28, 2021
Mailing address36 W 8th St Ste 200, Holland, MI 49423-2702

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyCLINICAL PSYCHOLOGIST
Medical schoolOTHER
Graduated 2019 (7 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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