Shannon Marie Erisman, PHD - Psychologist in Providence, RI

Shannon Marie Erisman, PHD is a Psychologist - Clinical based in Providence, Rhode Island. Shannon Marie Erisman is licensed to practice in Rhode Island (license number PS01283) and her current practice location is 345 Blackstone Blvd, Providence, Rhode Island. She can be reached at her office (for appointments etc.) via phone at (401) 455-6351.

NPI number for Shannon Marie Erisman is 1427318104 and her current mailing address is 502 Bullocks Point Ave, Riverside, Rhode Island. She does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1427318104.

Contact Information

Shannon Marie Erisman, PHD
345 Blackstone Blvd,
Providence, RI 02906-4800
(401) 455-6351
(401) 455-6698

Map and Direction




Healthcare Provider's Profile

Full NameShannon Marie Erisman
GenderFemale
SpecialityPsychologist - Clinical
Location345 Blackstone Blvd, Providence, Rhode Island
Accepts Medicare AssignmentsDoes not participate in Medicare Program. She may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1427318104
  • Provider Enumeration Date: 05/29/2012
  • Last Update Date: 10/11/2023

Medical Identifiers

Medical identifiers for Shannon Marie Erisman such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1427318104NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
103TC0700XPsychologist - Clinical PS01283 (Rhode Island)Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Shannon Marie Erisman is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Shannon Marie Erisman, PHD
502 Bullocks Point Ave,
Riverside, RI 02915-3504

Ph: (401) 626-4823
Shannon Marie Erisman, PHD
345 Blackstone Blvd,
Providence, RI 02906-4800

Ph: (401) 455-6351

Reviews and Comments


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