Carita R Shawchuck, PHD

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

PY10741 Issued in FL

Practice address

13104 Cimarron Cir N
Largo, FL 33774-4114

Phone

(727) 835-8131

Fax

(701) 205-4593

NPI assigned

Jun 10, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in FL

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Clinical Psychologist

Education

Other, 1990

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

State licenses

Practice roles

Locations

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

• Bay Area Psychological Services LLC

  • Multi-Specialty Clinic/Center
  • Largo, FL
  • NPI 1457924094
  Medicare reassignment NPD Authorized official
• Carita R Shawchuck PHD PC

  • Clinical Child & Adolescent Psychologist
  • Fargo, ND
  • NPI 1871650267
  NPD Authorized official
• Carita R Shawchuck, PHD, PC

  dba Child and Family Therapy Associates

  • Clinical Child & Adolescent Psychologist
  • Fargo, ND
  • NPI 1013269257
  NPD Authorized official
• Knowlton, O'Neill & Associates, P.C.

  • Psychologist
  • West Fargo, ND
  • NPI 1538198759
  NPD (past)

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

{
    "created_epoch": "1149897600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1630108800000",
    "number": "1093757791",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13104 CIMARRON CIR N",
            "city": "LARGO",
            "state": "FL",
            "postal_code": "337744114",
            "telephone_number": "727-835-8131",
            "fax_number": "701-205-4593"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13104 CIMARRON CIR N",
            "city": "LARGO",
            "state": "FL",
            "postal_code": "337744114",
            "telephone_number": "727-835-8131",
            "fax_number": "701-205-4593"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHAWCHUCK",
        "first_name": "CARITA",
        "middle_name": "R",
        "credential": "PHD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-10",
        "last_updated": "2021-08-28",
        "certification_date": "2021-08-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC2200X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical Child & Adolescent",
            "state": "ND",
            "license": "295",
            "primary": false
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "FL",
            "license": "PY10741",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Zen Elizabeth Sharpe
• Rupa Shastri, MSPT,CLWT,CORE(CERT)
• Melissa Charlene Shaw, PTA
• Pamela Shaw
• Sagowdaun Shaw, P.T.
• SHC Home Health Services FL District 5, LLC (Signature HomeNow)
• Melanie Shea
• Aaron Sheets, MD
• Kathryn Shellhart, NP
• Krista Shenkman, APRN, AGPCNP-BC

• Clinical Psychologist in Largo, FL
• Providers in Largo, FL by specialty
• Clinical Psychologist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 28, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.