Shana Lynn Stowitzky, PSY.D.

Primary specialty

PsychologistTaxonomy code 103T00000X

License

PY8475 Issued in FL

Practice address

4100 W Kennedy Blvd Ste 212
Tampa, FL 33609-2244

Phone

(312) 316-1391

NPI assigned

Feb 12, 2012

Last updated

Jan 5, 2015By 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 2

Addresses

Medicare fee-for-service enrollment

Enrolled in FL

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.

Enrollment records 1

Specialty

Clinical Psychologist

Education

Other, 2010

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

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.

• Holistic Psychology Services, LLC

  • Psychologist
  • Tampa, FL
  • NPI 1801286752
  Medicare reassignment Authorized official
• Ginger Fitness and Rehabilitation Inc

  • Specialist
  • Wesley Chapel, FL
  • NPI 1003019449
  NPD (past)
• Psychology Center for Wellness LLC

  • Psychologist
  • Tampa, FL
  • NPI 1639325186
  NPD (past)
• Psychology Services Associates, LLC

  • Clinical Psychologist
  • Tampa, FL
  • NPI 1083842900
  NPD (past)

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

{
    "created_epoch": "1329004800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1420416000000",
    "number": "1376816074",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4100 W KENNEDY BLVD STE 212",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336092244",
            "telephone_number": "312-316-1391"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4100 W KENNEDY BLVD STE 212",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336092244",
            "telephone_number": "312-316-1391"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STOWITZKY",
        "first_name": "SHANA",
        "middle_name": "LYNN",
        "name_prefix": "Dr.",
        "credential": "PSY.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-02-12",
        "last_updated": "2015-01-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "FL",
            "license": "PY8475",
            "primary": true
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "FL",
            "license": "PY8475",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Adam L Stout, DC
• Debora Ester Stout, M.A., BCBA
• Kristi Ann Stovall, ARNP
• Karen T. Stover, ARNP
• Claire Ellen Stowers, MD
• Conrad William Stoy, MD
• Kalin Stoyanov, MD
• Peter Kolev Stoyanov, APRN
• Strabismus Surgeons of Tampa LLC
• Katherine Clarice Strahl

• Psychologist in Tampa, FL
• Providers in Tampa, FL by specialty
• Psychologist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 5, 2015; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.