Individual provider Active NPI

Shirley Croissy English I, DNP

  • Psychiatric/Mental Health Nurse Practitioner
  • Hollywood, FL
National Provider Identifier
1265832802
Registry record updated Jan 17, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
APRN Issued in FL
Practice address
4200 Washington St
Hollywood, FL 33021-7353
Phone
(954) 406-7240
NPI assigned
Sep 2, 2014
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 17, 2023

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Health Nurse Practitioner 363LA2200X APRN9178294 FL
Gerontology Nurse Practitioner 363LG0600X APRN9178294 FL
Psychiatric/Mental Health Nurse Practitioner 363LP0808X APRN FL Primary

Addresses

Primary practice location

4200 Washington St
Hollywood, FL 33021-7353

Mailing address

PO Box 246363
Pembroke Pines, FL 33024-0122
Phone (954) 406-7240

Other identifiers 2

IdentifierTypeStateIssuer
RN9178294OtherFLFL RN LICENSE
APRN9178294OtherFLFL APR N LICENSE

Other names 1

  • Dr. Shirley Croissy Former name

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL senglish@phapsych.com Direct

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: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20150807015545 FL Practitioner - Nurse Practitioner 9234443060 Reassigns benefits to 3 organizations
Practice locations: Miramar, FL

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
APRN9178294FLMDGerontology Nurse Practitioner
APRNFLMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Grow Healthcare Group PA Psychiatric/Mental Health CurrentSince May 7, 2024 Accepting new patients
Brighter Day Health and Wellness PLLC Psychiatric/Mental Health CurrentSince May 25, 2026 Accepting new patients
Dr Luisa Vega DNP LLC Psychiatric/Mental Health CurrentSince Nov 1, 2022 Accepting new patients
Neighborhood Medical Center, Inc CurrentSince Sep 1, 2015 Accepting new patients
Neighborhood Medical Center, Inc CurrentSince Sep 1, 2015 Accepting new patients

Locations

1044 E Brandon Blvd
Ste 12
Brandon, FL 33511
Phone (813) 403-4423

604 E 5th Ave
Havana, FL 32333
Phone (850) 224-2469

525 Technology Park
Lake Mary, FL 32746
Phone (407) 347-4331

66 W Flagler St
Ste 900
Miami, FL 33130
Phone (786) 244-7711

7972 Pines Blvd
Unit 246363
Pembroke Pines, FL 33024
Phone (954) 406-7240

438 W Brevard St
Tallahassee, FL 32301
Phone (850) 224-2469

2295 Pasco St
Tallahassee, FL 32310
Phone (850) 224-2409

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/15524/brand/3/csg/1/fhir/r4

Organizations & group practices 5

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": "1409616000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1673913600000",
    "number": "1265832802",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 246363",
            "city": "PEMBROKE PINES",
            "state": "FL",
            "postal_code": "330240122",
            "telephone_number": "954-406-7240"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4200 WASHINGTON ST",
            "city": "HOLLYWOOD",
            "state": "FL",
            "postal_code": "330217353",
            "telephone_number": "954-406-7240"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ENGLISH",
        "first_name": "SHIRLEY",
        "middle_name": "CROISSY",
        "name_prefix": "Mrs.",
        "name_suffix": "I",
        "credential": "DNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-09-02",
        "last_updated": "2023-01-17",
        "certification_date": "2023-01-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "FL",
            "license": "APRN9178294",
            "primary": false
        },
        {
            "code": "363LG0600X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Gerontology",
            "state": "FL",
            "license": "APRN9178294",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "FL",
            "license": "APRN",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FL RN LICENSE",
            "identifier": "RN9178294",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FL APR N LICENSE",
            "identifier": "APRN9178294",
            "state": "FL"
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "senglish@phapsych.com",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "4200 Washington St",
            "city": "Hollywood",
            "state": "FL",
            "country_code": "US",
            "postal_code": "330217353",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "SHIRLEY",
            "last_name": "CROISSY",
            "prefix": "DR.",
            "credential": "APRN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Hollywood, FL

Sources for this page

Verify at the official NPI Registry.