Patricia Lynn Shutt, PSY.D.

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

PY6439 Issued in FL

Practice address

250 Royal CT
Delray Beach, FL 33444-3855

Phone

(561) 278-6033

Fax

(561) 278-6023

NPI assigned

Jul 27, 2006

Last updated

Jan 18, 2013By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Opted out of Medicare

Yes, effective Jan 1, 2016 through Jan 1, 2028

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Therapeutic Oasis of the Palm Beaches

  • Clinical Psychologist
  • Boca Raton, FL
  • NPI 1184960171
  NPD

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

{
    "created_epoch": "1153958400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1358467200000",
    "number": "1346264611",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "250 ROYAL CT",
            "city": "DELRAY BEACH",
            "state": "FL",
            "postal_code": "334443855",
            "telephone_number": "561-278-6033",
            "fax_number": "561-278-6023"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "250 ROYAL CT",
            "city": "DELRAY BEACH",
            "state": "FL",
            "postal_code": "334443855",
            "telephone_number": "561-278-6033",
            "fax_number": "561-278-6023"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHUTT",
        "first_name": "PATRICIA",
        "middle_name": "LYNN",
        "name_prefix": "Mrs.",
        "credential": "PSY.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-07-27",
        "last_updated": "2013-01-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "FL",
            "license": "PY6439",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "54841",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Shore Chiropractic PA
• Marilyn Shore, DC
• Burjis N Shroff, M.D.
• David Shutes, APRN
• Jill Marie Shutes, ARNP
• Gabriel Shvets, DDS
• Matthew D Sibley, DC
• Vivian Siblini
• Sid Imaging Inc
• Samuel Farhan Siddiqui, M.D.

• Clinical Psychologist in Delray Beach, FL
• Providers in Delray Beach, FL by specialty
• Clinical Psychologist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 18, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.