Individual provider Active NPI

Joseph Carl Shanklin, MD

  • Psychiatry Physician
  • Clearwater, FL
National Provider Identifier
1356453021
Registry record updated Jun 20, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
ME74312 Issued in FL
Practice address
2329 Sunset Point Rd
Ste 203
Clearwater, FL 33765-1438
Phone
(727) 669-3911
Fax
(727) 669-3813
NPI assigned
Aug 31, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 20, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X ME0074312 FL
Child & Adolescent Psychiatry Physician 2084P0804X ME0074312 FL
Psychiatry Physician 2084P0800X ME74312 FL Primary

Addresses

Primary practice location

2329 Sunset Point Rd
Ste 203
Clearwater, FL 33765-1438

Mailing address

2329 Sunset Point Rd
Ste 203
Clearwater, FL 33765-1438
Phone (727) 669-3911

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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20120208000470 FL Practitioner - Psychiatry 8628235314 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Psychiatry
Education
Other, 1996
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

2329 Sunset Point Rd
Clearwater, FL 33765-1438
Phone (727) 669-3911

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
ME0074312FLMDPsychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Elocin Pfeiffhart Inc Psychiatry CurrentSince May 10, 2001 Accepting new patients
Lifestream Behavioral Center Inc Past Accepting new patients

Locations

2329 Sunset Point Rd
Ste 203
Clearwater, FL 33765
Phone (727) 446-7756

Organizations & group practices 2

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": "1156982400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1750377600000",
    "number": "1356453021",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2329 SUNSET POINT RD",
            "address_2": "STE 203",
            "city": "CLEARWATER",
            "state": "FL",
            "postal_code": "337651438",
            "telephone_number": "727-669-3911",
            "fax_number": "727-669-3813"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2329 SUNSET POINT RD",
            "address_2": "STE 203",
            "city": "CLEARWATER",
            "state": "FL",
            "postal_code": "337651438",
            "telephone_number": "727-669-3911",
            "fax_number": "727-669-3813"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHANKLIN",
        "first_name": "JOSEPH",
        "middle_name": "CARL",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-08-31",
        "last_updated": "2025-06-20",
        "certification_date": "2023-11-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "FL",
            "license": "ME0074312",
            "primary": false
        },
        {
            "code": "2084P0804X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Child & Adolescent Psychiatry",
            "state": "FL",
            "license": "ME0074312",
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "FL",
            "license": "ME74312",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Clearwater, FL

Sources for this page

Verify at the official NPI Registry.