Latoya E Shakes Malone, PH.D.

Primary specialty

Clinical Child & Adolescent PsychologistTaxonomy code 103TC2200X

License

PY7376 Issued in FL

Practice address

7420 NW 5TH Street
Suite 112
Plantation, FL 33317-1611

Phone

(954) 662-7644

Fax

(954) 583-4528

NPI assigned

Oct 12, 2006

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

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

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.

• Life Solutions Psychological Services, P.a.

  • Psychologist
  • Plantation, FL
  • NPI 1104190180
  NPD (past) Authorized official

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

{
    "created_epoch": "1160611200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1245329671",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7420 NW 5TH ST",
            "address_2": "SUITE 112",
            "city": "PLANTATION",
            "state": "FL",
            "postal_code": "333171611",
            "telephone_number": "954-662-7644",
            "fax_number": "954-583-4528"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7420 NW 5TH STREET",
            "address_2": "SUITE 112",
            "city": "PLANTATION",
            "state": "FL",
            "postal_code": "333171611",
            "telephone_number": "954-662-7644",
            "fax_number": "954-583-4528"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHAKES MALONE",
        "first_name": "LATOYA",
        "middle_name": "E",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-12",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC2200X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical Child & Adolescent",
            "state": "FL",
            "license": "PY7376",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE NUMBER",
            "identifier": "PY7376",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Sanket K Shah, MD
• Sanketkumar V Shah
• Vishal Kenneth Shah, MD
• Vishrut Shah
• Shake It Up Foundation LLC
• Murali P Shankar, MD
• Nandita Shankar, MD
• Shaoni Medical Solutions, LLC
• Jennifer Shapiro, SLP-CCC
• Deepika Sharad, DO

• Clinical Child & Adolescent Psychologist in Plantation, FL
• Providers in Plantation, FL by specialty
• Clinical Child & Adolescent Psychologist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.