NPIMap

Organization Active NPI

Shannan M Cason PSYD LLC

  • Clinical Psychologist
  • Hollywood, FL
National Provider Identifier
1235447343
Registry record updated Sep 23, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
PY7394 Issued in FL
Legal business name
SHANNAN M CASON PSYD LLC
Practice address
2214 Hollywood Blvd
Hollywood, FL 33020-6702
Phone
(954) 927-9555
Fax
(954) 921-4064
NPI assigned
Sep 23, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 23, 2010

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

Authorized official

Name
Dr. Shannan M. Cason, PSY.D.
Title
Licensed Psychologist, Owner
Phone
(954) 708-3750

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical PsychologistGroup: 193400000X SINGLE SPECIALTY GROUP 103TC0700X PY7394 FL Primary

Addresses

Primary practice location

2214 Hollywood Blvd
Hollywood, FL 33020-6702

Mailing address

2214 Hollywood Blvd
Hollywood, FL 33020-6702
Phone (954) 927-9555

National Provider Directory

National Provider Directory

Locations

2214 Hollywood Blvd
Hollywood, FL 33020
Phone (954) 426-8840

Practitioners & affiliated clinicians

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1285200000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1285200000000",
    "number": "1235447343",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2214 HOLLYWOOD BLVD",
            "city": "HOLLYWOOD",
            "state": "FL",
            "postal_code": "330206702",
            "telephone_number": "954-927-9555",
            "fax_number": "954-921-4064"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2214 HOLLYWOOD BLVD",
            "city": "HOLLYWOOD",
            "state": "FL",
            "postal_code": "330206702",
            "telephone_number": "954-927-9555",
            "fax_number": "954-921-4064"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHANNAN M CASON PSYD LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-09-23",
        "last_updated": "2010-09-23",
        "status": "A",
        "authorized_official_last_name": "CASON",
        "authorized_official_first_name": "SHANNAN",
        "authorized_official_middle_name": "M.",
        "authorized_official_title_or_position": "LICENSED PSYCHOLOGIST, OWNER",
        "authorized_official_telephone_number": "954-708-3750",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PSY.D."
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist, Clinical",
            "state": "FL",
            "license": "PY7394",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hollywood, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 23, 2010; 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.