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

Mr. Shannon Paul Weisz, PSYD, LAC

Individual provider Psychologist · NPI 1730254418

Mr. Shannon Paul Weisz, PSYD, LAC is a Clinical Psychologist in Bismarck, North Dakota. Qualified in 2011, 15 years ago. Practices with Missouri River Health, a 4-clinician group, accepts Medicare assignment and offers telehealth. Licensed in North Dakota.

Years since qualifying
15
Licensed in
ND
In the registry since
2006
Specialties on file
2
What do these letters mean?
PSYD — Doctor of Psychology
A doctoral psychologist trained primarily for clinical practice.
LAC — Licensed Associate Counselor
A counsellor practising under supervision toward full licensure. In some states the same letters mean Licensed Acupuncturist.

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Practice location Address checks out

309 N Mandan St Ste #1
Bismarck, ND 58501-3886
Phone: (701) 323-0924
Fax: (701) 323-0935
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Psychologist (primary) Taxonomy 103T00000X · Licence 470 (ND)
Addiction (Substance Use Disorder) Counselor Taxonomy 101YA0400X · Licence 1549 (ND)

Record details

NPI number1730254418
Entity typeIndividual (Type 1)
GenderMale
Credentials PSYD , LAC
Sole proprietorNo
NPI enumeratedNovember 21, 2006
Last updated in NPPESJuly 22, 2014

Medicare enrollment

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

Medicare specialtyCLINICAL PSYCHOLOGIST
Medical schoolOTHER
Graduated 2011 (15 years in practice)
Group practice Missouri River Health — 4 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

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