Shardeah S Simmons

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

RBT-25-415433 Issued in FL

Practice address

7301A W Palmetto Park Rd Ste 100C
Boca Raton, FL 33433-3403

Phone

(954) 248-1171

NPI assigned

May 6, 2026

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Mindful Sprouts LLC

  • Behavior Analyst
  • Boca Raton, FL
  • NPI 1326505751
  NPD (past)
• Mindful Sprouts LLC

  • Speech-Language Pathologist
  • Boca Raton, FL
  • NPI 1538933171
  NPD (past)

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

{
    "created_epoch": "1778025600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1778025600000",
    "number": "1003743899",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "233 CYPRESS TRCE",
            "city": "ROYAL PALM BEACH",
            "state": "FL",
            "postal_code": "334114799",
            "telephone_number": "407-949-1004"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7301A W PALMETTO PARK RD STE 100C",
            "city": "BOCA RATON",
            "state": "FL",
            "postal_code": "334333403",
            "telephone_number": "954-248-1171"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SIMMONS",
        "first_name": "SHARDEAH",
        "middle_name": "S",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2026-05-06",
        "last_updated": "2026-05-06",
        "certification_date": "2026-05-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "FL",
            "license": "RBT-25-415433",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ari D Silverstein, M.D.
• Meir Silverstein, LCSW
• Jodi S. Simkins, MD
• Stephanie Jill Simko, PTA
• Michael Simmons, LMT, CLT
• Jacques Renaud Simon
• Rina Simon, M.A.
• Toby L Simon, MD
• Brooke Simons, M.S., CCC-SLP
• Martina Simova

• Clinical Psychologist in Boca Raton, FL
• Providers in Boca Raton, FL by specialty
• Clinical Psychologist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 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.