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

Dr. Shannon Skaistis, PHD

Individual provider Psychologist · NPI 1457171514

Dr. Shannon Skaistis, PHD is a Psychologist in Wausau, Wisconsin. Licensed in Wisconsin. Registered with an NPI since 2024.

Licensed in
WI
In the registry since
2024
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

630 S 36th Ave
Wausau, WI 54401-3930
Phone: (414) 301-1060
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Psychologist (primary) Taxonomy 103T00000X · Licence 532457 (WI)

Record details

NPI number1457171514
Entity typeIndividual (Type 1)
GenderNot disclosed
Credentials PHD
Sole proprietorNo
NPI enumeratedOctober 14, 2024
Last updated in NPPESFebruary 19, 2025
Certification dateFebruary 19, 2025

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