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

Shawna M Tanner, PHD

Individual provider Clinical Psychologist · NPI 1457980476

Shawna M Tanner, PHD is a Clinical Psychologist in Grand Rapids, Michigan. Qualified in 2021, 5 years ago. Practices with Pine Rest Christian Mental Health Services, a 353-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Massachusetts and Michigan.

Years since qualifying
5
Licensed in
MA, MI
In the registry since
2020
Specialties on file
2
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

300 68th St SE
Grand Rapids, MI 49548-6927
Phone: (616) 327-8133
Fax: (616) 327-6904
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 6500 Byron Center Ave Sw, Byron Center, MI 49315-9080 — (616) 455-5270

Specialties & licences

Clinical Psychologist (primary) Taxonomy 103TC0700X · Licence 6301019355 (MI)
Clinical Psychologist Taxonomy 103TC0700X · Licence PSY50000290 (MA)

Record details

NPI number1457980476
Entity typeIndividual (Type 1)
GenderFemale
Credentials PHD
Sole proprietorYes
NPI enumeratedApril 2, 2020
Last updated in NPPESMarch 4, 2026
Certification dateMarch 4, 2026

Medicare enrollment

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

Medicare specialtyCLINICAL PSYCHOLOGIST
Medical schoolOTHER
Graduated 2021 (5 years in practice)
Group practice Pine Rest Christian Mental Health Services — 353 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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