Harold E Shinitzky, PSY.D.

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

PY4899 Issued in FL

Practice address

2750 N McMullen Booth Rd
Suite 102-B
Clearwater, FL 33761-3362

Phone

(727) 560-2697

Fax

(866) 469-3880

NPI assigned

Aug 3, 2006

Sex

Male

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 3

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1154563200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1386652758",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2750 N MCMULLEN BOOTH RD",
            "address_2": "SUITE 102-B",
            "city": "CLEARWATER",
            "state": "FL",
            "postal_code": "337613362",
            "telephone_number": "727-560-2697",
            "fax_number": "866-469-3880"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2750 N MCMULLEN BOOTH RD",
            "address_2": "SUITE 102-B",
            "city": "CLEARWATER",
            "state": "FL",
            "postal_code": "337613362",
            "telephone_number": "727-560-2697",
            "fax_number": "866-469-3880"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHINITZKY",
        "first_name": "HAROLD",
        "middle_name": "E",
        "credential": "PSY.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-08-03",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "FL",
            "license": "PY4899",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "VALUE OPTIONS",
            "identifier": "001088",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "COMPSYCH CORP",
            "identifier": "185504",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE SHIELD OF FLORIDA",
            "identifier": "54695",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Robert S Shibata, M.D.
• Shamsah Shidi, PT
• Sandra Shields, CRNA
• Stephen J Shields, MD
• Jeoung Gyu Shin, L.M.T.
• Louann Shinn-Evinger, PTA
• Hua Shiu, AP
• Michelle Shiwcharan, NP
• Natalie P Shnitser, M.D.
• Robert N Shobe, M.D.

• Clinical Psychologist in Clearwater, FL
• Providers in Clearwater, FL by specialty
• Clinical Psychologist in Florida

• 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.

Verify at the official NPI Registry.