Maude Guilmette Shannon, PHD, PSYD

Primary specialty

PsychologistTaxonomy code 103T00000X

License

PY12587 Issued in FL

Practice address

1624 NE 16TH Ter
Fort Lauderdale, FL 33305-3410

Phone

(438) 834-1563

NPI assigned

Jan 27, 2025

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 4

Addresses

Other names 1

• Maude Guilmette Professional name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Philosophy

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1737936000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1780704000000",
    "number": "1003628934",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1624 NE 16TH TER",
            "city": "FORT LAUDERDALE",
            "state": "FL",
            "postal_code": "333053410",
            "telephone_number": "954-224-5262"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1624 NE 16TH TER",
            "city": "FORT LAUDERDALE",
            "state": "FL",
            "postal_code": "333053410",
            "telephone_number": "438-834-1563"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHANNON",
        "first_name": "MAUDE",
        "middle_name": "GUILMETTE",
        "name_prefix": "Dr.",
        "credential": "PHD, PSYD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2025-01-27",
        "last_updated": "2026-06-06",
        "certification_date": "2026-06-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TB0200X",
            "taxonomy_group": "",
            "desc": "Psychologist, Cognitive & Behavioral",
            "state": "FL",
            "license": "PY12587",
            "primary": false
        },
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "FL",
            "license": "PY12587",
            "primary": true
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "FL",
            "license": "PY12587",
            "primary": false
        },
        {
            "code": "103TE1100X",
            "taxonomy_group": "",
            "desc": "Psychologist, Exercise & Sports",
            "state": "FL",
            "license": "PY12587",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MAUDE",
            "last_name": "GUILMETTE",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Taha Shaikh, MD
• Alison Shames
• Denise Shamlian, INHC
• Benjamin Scott Shanaberger, LMT
• Keron Shand
• Julie Beth Shapiro, BSW
• Bret Leslie Sharf, PA-C
• Farrah Sharif
• Ekta Sharma, DO
• Nivedita Sharma

• Psychologist in Fort Lauderdale, FL
• Providers in Fort Lauderdale, FL by specialty
• Psychologist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 6, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.