Active NPI
Joel D Shuy, PSY.D
- Clinical Psychologist
- Cocoa, FL
National Provider Identifier
1164572574
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- PY0005480
- Practice address
- 96 Willard St
Suite 306
Cocoa, FL 32922-7991 - Phone
- (321) 638-0027
- Fax
- (321) 638-0115
- NPI assigned
- Jan 11, 2007
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | PY0005480 | FL | Primary |
Addresses
Primary practice location
96 Willard St
Suite 306
Cocoa, FL 32922-7991
Mailing address
96 Willard St
Suite 306
Cocoa, FL 32922-7991
Phone (321) 638-0027
Medicare participation
Medicare enrollment files- 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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Clinical Psychologist
- Education
- Other, 1995
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
2123 Franklin Dr NE
Palm Bay, FL 32905-4022
Phone (321) 724-1614
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PY0005480 | FL | MD | Clinical Psychologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Atlantic Psychiatric Centers, Inc. | Clinical | Current | Accepting new patients |
Locations
2123 Franklin Dr NE
Palm Bay, FL 32905
Phone (321) 724-1614
4185 US Highway 1
Ste 102
Rockledge, FL 32955
Phone (321) 638-0027
Interoperability endpoints
- atlanticpsychiatric.joelshuy@157402.advancedmd-direct.com
Organizations & group practices 1
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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1168473600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1348531200000",
"number": "1164572574",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "96 WILLARD ST",
"address_2": "SUITE 306",
"city": "COCOA",
"state": "FL",
"postal_code": "329227991",
"telephone_number": "321-638-0027",
"fax_number": "321-638-0115"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "96 WILLARD ST",
"address_2": "SUITE 306",
"city": "COCOA",
"state": "FL",
"postal_code": "329227991",
"telephone_number": "321-638-0027",
"fax_number": "321-638-0115"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SHUY",
"first_name": "JOEL",
"middle_name": "D",
"name_prefix": "Dr.",
"credential": "PSY.D",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-01-11",
"last_updated": "2012-09-25",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "FL",
"license": "PY0005480",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Cocoa, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 25, 2012; 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.