Shanlis Inc.

Primary specialty

Clinical NeuropsychologistTaxonomy code 103G00000X

License

PY5416 Issued in FL

Legal business name

SHANLIS INC.

Practice address

744 Colorado Ave
Stuart, FL 34994-3005

Phone

(772) 223-9988

Fax

(772) 223-9593

NPI assigned

Jun 24, 2013

Organization subpart

No

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

Authorized official

Name

Dr. Steven Edney, PSY.DNPI 1043502966

Title

Director of Operations

Phone

(772) 223-9988

Specialties & licenses 2

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Steven X Edney, PSY. D.

  • Psychologist
  • Stuart, FL
  • NPI 1043502966
  Authorized official Same address or phone

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

{
    "created_epoch": "1372032000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1474934400000",
    "number": "1396184248",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "744 COLORADO AVE",
            "city": "STUART",
            "state": "FL",
            "postal_code": "349943005",
            "telephone_number": "772-223-9988",
            "fax_number": "772-223-9593"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "744 COLORADO AVE",
            "city": "STUART",
            "state": "FL",
            "postal_code": "349943005",
            "telephone_number": "772-223-9988",
            "fax_number": "772-223-9593"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHANLIS INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-06-24",
        "last_updated": "2016-09-27",
        "status": "A",
        "authorized_official_last_name": "EDNEY",
        "authorized_official_first_name": "STEVEN",
        "authorized_official_title_or_position": "DIRECTOR OF OPERATIONS",
        "authorized_official_telephone_number": "772-223-9988",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PSY.D"
    },
    "taxonomies": [
        {
            "code": "103G00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Clinical Neuropsychologist",
            "state": "FL",
            "license": "PY5416",
            "primary": true
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist, Clinical",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• SF Salerno LLC (Salerno Bay Health and Rehabilitation Center)
• Angela Marie Shade
• Gaurav R Shah, MD
• Prakash Babu Shah, MD
• Shanlis Counseling & Assessment, Inc
• Shanlis, Inc.
• Shannon Winters DC PA
• Janis A Shannon, LCSW
• Shanvi Inc (Caring Doctors)
• Jacob Ian Shapiro, MD

• Clinical Neuropsychologist in Stuart, FL
• Providers in Stuart, FL by specialty
• Clinical Neuropsychologist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 27, 2016; 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.