Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Dr. Tracy E Shannon, PSYD

Individual provider Rehabilitation Psychologist · NPI 1972839660

Dr. Tracy E Shannon, PSYD is a Clinical Psychologist in Columbus, Ohio. Qualified in 2012, 14 years ago. Practices with Osu Physical Medicine and Rehabilitation LLC, a 35-clinician group, works from 2 locations, accepts Medicare assignment and offers telehealth. Licensed in Ohio.

Years since qualifying
14
Licensed in
OH
In the registry since
2009
What do these letters mean?
PSYD — Doctor of Psychology
A doctoral psychologist trained primarily for clinical practice.

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Practice location Address checks out

480 Medical Center Dr
Columbus, OH 43210-1229
Phone: (614) 293-3830
Fax: (614) 293-4870
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 543 Taylor Ave Ste 3002, Columbus, OH 43203-1278 — (614) 688-6400

Specialties & licences

Rehabilitation Psychologist (primary) Taxonomy 103TR0400X · Licence P.7251 (OH)

Record details

NPI number1972839660
Entity typeIndividual (Type 1)
GenderFemale
Credentials PSYD
Sole proprietorNo
NPI enumeratedOctober 30, 2009
Last updated in NPPESApril 21, 2026
Certification dateApril 21, 2026

Medicare enrollment

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

Medicare specialtyCLINICAL PSYCHOLOGIST
Medical schoolOTHER
Graduated 2012 (14 years in practice)
Group practice Osu Physical Medicine And Rehabilitation Llc — 35 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations2 on file with Medicare

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