Individual provider Active NPI

Catherine Elizabeth Shea, PSY.D.

  • Clinical Psychologist
  • Weston, FL
National Provider Identifier
1245055698
Registry record updated Nov 20, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
PY12201 Issued in FL
Practice address
1875 N Corporate Lakes Blvd Ste 300
Weston, FL 33326-3270
Phone
(954) 217-2444
NPI assigned
Nov 20, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 20, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X PY12201 FL Primary

Addresses

Primary practice location

1875 N Corporate Lakes Blvd Ste 300
Weston, FL 33326-3270

Mailing address

5630 Wind Drift LN
Boca Raton, FL 33433-5446
Phone (561) 542-7514

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PY12201FLMDClinical Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Harris & Darmanian PLLC Clinical CurrentSince Jan 2, 2025 Accepting new patients

Locations

1875 N Corporate Lakes Blvd
Ste 300
Weston, FL 33326
Phone (954) 217-2444

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": "1732060800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1732060800000",
    "number": "1245055698",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5630 WIND DRIFT LN",
            "city": "BOCA RATON",
            "state": "FL",
            "postal_code": "334335446",
            "telephone_number": "561-542-7514"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1875 N CORPORATE LAKES BLVD STE 300",
            "city": "WESTON",
            "state": "FL",
            "postal_code": "333263270",
            "telephone_number": "954-217-2444"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHEA",
        "first_name": "CATHERINE",
        "middle_name": "ELIZABETH",
        "name_prefix": "Dr.",
        "credential": "PSY.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-11-20",
        "last_updated": "2024-11-20",
        "certification_date": "2024-11-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "FL",
            "license": "PY12201",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Weston, FL

Sources for this page

Verify at the official NPI Registry.