Shatha Atiya, PSY.D.

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

PY7737 Issued in FL

Practice address

4700 Millenia Blvd Ste 500
Orlando, FL 32839-6019

Phone

(813) 467-6111

NPI assigned

Jun 10, 2008

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

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, 2005

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Thrive Behavioral Sciences- Orlando LLCGroup PAC ID 9739420654, 35 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles (1 of 2)

Locations

Networks

• Freedom Health HMO Network

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Thrive Behavioral Sciences Orlando LLC

  • Geriatric Psychiatry Physician
  • Orlando, FL
  • NPI 1063979730
  Medicare reassignment Care Compare group NPD
• Ace Behavioral Health LLC

  • Psychiatry Physician
  • Tampa, FL
  • NPI 1841094885
  Medicare reassignment
• Citrus County Rural Health Inc

  • Federally Qualified Health Center (FQHC)
  • Crystal River, FL
  • NPI 1740931831
  Medicare reassignment
• Health Care Center for the Homeless Inc

  • Federally Qualified Health Center (FQHC)
  • Orlando, FL
  • NPI 1235213216
  Medicare reassignment

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

{
    "created_epoch": "1213056000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1706227200000",
    "number": "1487814729",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5510 N HESPERIDES ST",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336145414",
            "telephone_number": "813-467-6111"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4700 MILLENIA BLVD STE 500",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328396019",
            "telephone_number": "813-467-6111"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "915 Middle River Dr",
            "address_2": "suite 307",
            "address_purpose": "LOCATION",
            "city": "Fort Lauderdale",
            "state": "FL",
            "postal_code": "333043544",
            "country_code": "US",
            "telephone_number": "954-478-6686",
            "fax_number": "954-566-1186",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ATIYA",
        "first_name": "SHATHA",
        "credential": "PSY.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-06-10",
        "last_updated": "2024-01-26",
        "certification_date": "2024-01-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "FL",
            "license": "PY7737",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Danish Ather, MD
• Latrece N Athouriste, ARNP
• Joseph Atia, PHARMD
• Jason Tia Atienza, M.D.
• Marguerite Atis
• Alecia Atkins
• Rhonda Atkins, COTA
• Sabrina Renee Atkins, D.C.
• Sarah Jane Atkins, APRN
• Teryl Atkins

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 26, 2024; 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.