Individual Healthcare Provider
Shannon Mary Carres, PA-C
Provider's NPPES record last updated: June 29, 2026
Overview
- Entity Type
- Individual Healthcare Provider
- NPI
- 1225604176
- Primary Specialty
- Psychiatry & Neurology — Psychiatry
- Practice Location
- Marlton, New Jersey
- Sole Proprietor
- No
Federal Screening
NPISignal checked this NPI against federal exclusion sources. Results below are based on the NPI number itself — an identifier match, not a name match.
List of Excluded Individuals/Entities (LEIE)
HHS Office of Inspector General
No potential match was identified in NPISignal's indexed List of Excluded Individuals/Entities (LEIE) records as of 2026-09-10.
- Source data
- September 10, 2026
- Records indexed
- 84,001
- Screened
- Sep 18, 2026, 4:46 AM UTC
This reflects only the records NPISignal currently holds and the identity information supplied. It is not a verification of eligibility, licensure, or compliance. Verify decisions that matter against the authoritative source.
SAM.gov Exclusions
U.S. General Services Administration
SAM.gov Exclusions was not checked.
SAM.gov screening is not configured on this deployment. No SAM check has been performed.
- Screened
- Not checked
This is an NPI-based check only. NPISignal does not publish name-based exclusion matches on a provider profile. A shared or similar name is a lead that requires human review, not an identification, and this page is not the place to make one. Run a name-based screening below to see potential matches with the reasons for each.
This reflects only the records NPISignal currently holds and the identity information supplied. It is not a verification of eligibility, licensure, or compliance. Verify decisions that matter against the authoritative source.
Searches OIG LEIE and SAM.gov by name and reviews every potential match.
Specialties & Taxonomies
- Primary
Psychiatry & Neurology
Psychiatry
Allopathic & Osteopathic Physicians
A Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment disorders. Biologic, psychological, and social components of illnesses are explored and understood in treatment of the whole person. Tools used may include diagnostic laboratory tests, prescribed medications, evaluation and treatment of psychological and interpersonal problems with individuals and families, and intervention for coping with stress, crises, and other problems.
Taxonomy code 2084P0800X Physician Assistant
Medical
Physician Assistants & Advanced Practice Nursing Providers
Definition to come...
Taxonomy code 363AM0700XStudent in an Organized Health Care Education/Training Program
Student, Health Care
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
Taxonomy code 390200000X
Provider-Reported License Information
- Psychiatry & Neurology (Florida)
- 9117419
- Physician Assistant (Florida)
- PA9114719
Practice Locations
Practice Location
5 Greentree Center
Suite 117
Marlton, New Jersey 08053-3422
Phone: (609) 484-0106
Additional Practice Location
3100 17th St Ste A
Saint Cloud, Florida 34769-6021
Phone: (407) 892-0009
Fax: (407) 892-3285
Record Information
- Enumeration Date
- June 1, 2021
- Provider's NPPES Record Last Updated
- June 29, 2026
- Certification Date
- June 29, 2026
- NPISignal NPPES Dataset
- August 2026
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