Active NPI
Shannan M. Cason, PSY.D.
- Clinical Psychologist
- Pompano Beach, FL
National Provider Identifier
1285721654
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- PY7394
- Practice address
- 150 SW 12TH Ave
Suite #330
Pompano Beach, FL 33069-3298 - Phone
- (954) 783-5100
- Fax
- (954) 783-5176
- NPI assigned
- Oct 6, 2006
- Sex
- Female
- Sole proprietor
- No
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 | PY7394 | FL | Primary |
Addresses
Primary practice location
150 SW 12TH Ave
Suite #330
Pompano Beach, FL 33069-3298
Mailing address
150 SW 12TH Ave
Suite #330
Pompano Beach, FL 33069-3298
Phone (954) 708-3750
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PY7394 | FL | MD | Clinical Psychologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Behavioral Medicine & Biofeedback Consultants Inc | Clinical | Past | Accepting new patients |
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.
-
- Clinical Psychologist
- Pompano Beach, FL
- NPI 1518054998
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1160092800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1285721654",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "150 SW 12TH AVE",
"address_2": "SUITE #330",
"city": "POMPANO BEACH",
"state": "FL",
"postal_code": "330693298",
"telephone_number": "954-708-3750",
"fax_number": "954-783-5176"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "150 SW 12TH AVE",
"address_2": "SUITE #330",
"city": "POMPANO BEACH",
"state": "FL",
"postal_code": "330693298",
"telephone_number": "954-783-5100",
"fax_number": "954-783-5176"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CASON",
"first_name": "SHANNAN",
"middle_name": "M.",
"name_prefix": "Dr.",
"credential": "PSY.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-10-06",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "FL",
"license": "PY7394",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Pompano Beach, FL
Sources for this page
- 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.