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

Shanna Rose Thomsen

Individual provider Clinical Psychologist · NPI 1417438250

Shanna Rose Thomsen is a Clinical Psychologist in Waukesha, Wisconsin. Qualified in 2019, 7 years ago. Works from 3 locations and accepts Medicare assignment. Licensed in Wisconsin.

Years since qualifying
7
Licensed in
WI
In the registry since
2018
Specialties on file
2
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Practice location Address checks out

N14W23777 Stone Ridge Dr Ste 135
Waukesha, WI 53188-1164
Phone: (414) 279-9082
Fax: (414) 501-4399
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (2)

  • 909 E State Blvd, Fort Wayne, IN 46805-3458 — (260) 482-9125
  • 6233 39th Ave, Kenosha, WI 53142-7015 — (262) 654-1004

Specialties & licences

Clinical Psychologist (primary) Taxonomy 103TC0700X · Licence 3972-57 (WI)
Mental Health Counselor Taxonomy 101YM0800X

Record details

NPI number1417438250
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedAugust 28, 2018
Last updated in NPPESApril 24, 2026
Certification dateApril 24, 2026

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

Other providers in Waukesha