Active NPI
Dawn Melissa Shelton, PHD
- Marriage & Family Therapist
- Fort Lauderdale, FL
National Provider Identifier
1407973225
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Marriage & Family Therapist
- License
- 1626
- Practice address
- 1948 E Sunrise Blvd Ste 8
Fort Lauderdale, FL 33304-1476 - Phone
- (954) 609-6733
- NPI assigned
- Mar 25, 2007
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Marriage & Family Therapist | 106H00000X | 1626 | FL | Primary |
Addresses
Primary practice location
1948 E Sunrise Blvd Ste 8
Fort Lauderdale, FL 33304-1476
Mailing address
1839 Middle River Dr Apt 204
Fort Lauderdale, FL 33305-3504
Phone (954) 609-6733
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1626 | FL | MD | Mental Health Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1174780800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183939200000",
"number": "1407973225",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1839 MIDDLE RIVER DR APT 204",
"city": "FORT LAUDERDALE",
"state": "FL",
"postal_code": "333053504",
"telephone_number": "954-609-6733"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1948 E SUNRISE BLVD STE 8",
"city": "FORT LAUDERDALE",
"state": "FL",
"postal_code": "333041476",
"telephone_number": "954-609-6733"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SHELTON",
"first_name": "DAWN",
"middle_name": "MELISSA",
"name_prefix": "Dr.",
"credential": "PHD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-03-25",
"last_updated": "2007-07-09",
"status": "A"
},
"taxonomies": [
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "FL",
"license": "1626",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Fort Lauderdale, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 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.