NPIMap

Organization Active NPI

Psywell, LLC

  • Clinical Psychologist
  • Greenacres, FL
National Provider Identifier
1386289601
Registry record updated Jan 6, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
Legal business name
PSYWELL, LLC
Practice address
6803 Lake Worth Rd Ste 215
Greenacres, FL 33467-2979
Phone
(561) 207-7625
NPI assigned
Nov 11, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 6, 2026

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

Authorized official

Name
Dr. Paula Shaw, PSYDNPI 1922585454
Title
Psychologist
Phone
(561) 207-7625

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YM0800X
Clinical PsychologistGroup: 193200000X MULTI-SPECIALTY GROUP 103TC0700X Primary

Addresses

Primary practice location

6803 Lake Worth Rd Ste 215
Greenacres, FL 33467-2979

Mailing address

6803 Lake Worth Rd Ste 215
Greenacres, FL 33467-2979
Phone (561) 207-7625

Other names 1

  • Psychological Wellness Center Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20240611000051 FL Part B Supplier - Clinic/Group Practice 5294277810 Receives reassigned benefits from 9 practitioners
Practice locations: Greenacres, FL

National Provider Directory

National Provider Directory

Locations

6803 Lake Worth Rd
#215
Greenacres, FL 33467
Phone (561) 207-7625

6803 Lake Worth Rd
Ste 215
Greenacres, FL 33467
Phone (561) 207-7625

8401 Lake Worth Rd
#210
Lake Worth, FL 33467
Phone (561) 207-7625

Practitioners & affiliated clinicians

Practitioners 15

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

View all 15

NPI Registry JSON

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

{
    "created_epoch": "1573430400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1767657600000",
    "number": "1386289601",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6803 LAKE WORTH RD STE 215",
            "city": "GREENACRES",
            "state": "FL",
            "postal_code": "334672979",
            "telephone_number": "561-207-7625"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6803 LAKE WORTH RD STE 215",
            "city": "GREENACRES",
            "state": "FL",
            "postal_code": "334672979",
            "telephone_number": "561-207-7625"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PSYWELL, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-11-11",
        "last_updated": "2026-01-06",
        "certification_date": "2026-01-06",
        "status": "A",
        "authorized_official_last_name": "SHAW",
        "authorized_official_first_name": "PAULA",
        "authorized_official_title_or_position": "PSYCHOLOGIST",
        "authorized_official_telephone_number": "561-207-7625",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PSYD"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Psychological Wellness Center",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Psychological Wellness Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Greenacres, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 6, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.