Jabeen F Shamji, PHD

Primary specialty

Clinical NeuropsychologistTaxonomy code 103G00000X

License

39699 Issued in TX

Practice address

555 Republic Dr Ste 325
Plano, TX 75074-8867

Phone

(903) 893-0298

Fax

(903) 892-6323

NPI assigned

Jul 14, 2021

Last updated

Jul 30, 2024By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in TX

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, 2022

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Applied Psychology Group of Texoma PAGroup PAC ID 0244406098, 3 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

Practice roles

Locations

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

• Applied Psychology Group of Texoma PA

  • Psychologist
  • Plano, TX
  • NPI 1457648719
  Medicare reassignment Care Compare group NPD
• Pennsylvania Counseling Services Inc.

  • Counselor
  • Lebanon, PA
  • NPI 1669474979
  NPD (past)

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

{
    "created_epoch": "1626220800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1722297600000",
    "number": "1598337057",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "555 REPUBLIC DR STE 325",
            "city": "PLANO",
            "state": "TX",
            "postal_code": "750748867",
            "telephone_number": "903-893-0298",
            "fax_number": "903-892-6323"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "555 REPUBLIC DR STE 325",
            "city": "PLANO",
            "state": "TX",
            "postal_code": "750748867",
            "telephone_number": "903-893-0298",
            "fax_number": "903-892-6323"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHAMJI",
        "first_name": "JABEEN",
        "middle_name": "F",
        "name_prefix": "Dr.",
        "credential": "PHD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-07-14",
        "last_updated": "2024-07-30",
        "certification_date": "2024-07-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "TX",
            "license": "39699",
            "primary": false
        },
        {
            "code": "103G00000X",
            "taxonomy_group": "",
            "desc": "Clinical Neuropsychologist",
            "state": "TX",
            "license": "39699",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Seattle Reign Anastasia Shakur, DO
• Marc Shalek, MD
• Philip Roger Shalen, M.D.
• Shalini Katikaneni MD PA
• Muhammad Hamza Shamim, MD
• Zikra Shamsi
• Mary Elizabeth Shands, LPC
• Julie Shanes, RPH
• Komal V Shanmugam, O.D.
• Shannon S. Suh, O.D., PA

• Clinical Neuropsychologist in Plano, TX
• Providers in Plano, TX by specialty
• Clinical Neuropsychologist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 30, 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.