Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.
NPIDirectory

Tim Shannon, PSYD

Individual provider Psychologist · NPI 1407956758

Tim Shannon, PSYD is a Clinical Psychologist in Normal, Illinois. Qualified in 1991, 35 years ago. Practices with Osf Multi-Specialty Group, a 2,128-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Illinois.

Years since qualifying
35
Licensed in
IL
In the registry since
2006
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

405 Kays Dr Ste C
Normal, IL 61761-1979 Not confirmed with CMS for 15 years — call before visiting
Phone: (309) 664-3130
Fax: (309) 664-3528
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Psychologist (primary) Taxonomy 103T00000X · Licence 071004783 (IL)

Record details

NPI number1407956758
Entity typeIndividual (Type 1)
GenderMale
Credentials PSYD
Sole proprietorNo
NPI enumeratedSeptember 25, 2006
Last updated in NPPESMay 9, 2011

Medicare enrollment

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

Medicare specialtyCLINICAL PSYCHOLOGIST
Medical schoolOTHER
Graduated 1991 (35 years in practice)
Group practice Osf Multi-Specialty Group — 2128 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations2 on file with Medicare

Medicare patients and services, 2024

From the CMS Medicare Physician & Other Practitioners file for calendar year 2024. It counts Original Medicare patients only, so a practice that mostly sees Medicare Advantage or privately insured patients looks smaller here than it is.

Medicare patients40
Services billed 154 a service is one billed item, such as a visit, a test or a procedure
Average patient age68

Dollar amounts are not shown. What Medicare pays a practice is gross billings, before staff, premises and tax and including the cost of any drugs it administers, so it is not what a clinician earns.

Colleagues at Osf Multi-Specialty Group

Clinicians the CMS Doctors & Clinicians file lists under the same group practice. CMS counts 2128 clinicians in the practice; 12 are shown here.

Other providers in Normal