Chrissyl Kandis Shaw, PSY.D.

Primary specialty

PsychologistTaxonomy code 103T00000X

License

PY8765 Issued in FL

Practice address

4121 NW 5TH St
Suite 207
Plantation, FL 33317-2120

Phone

(954) 583-4568

Fax

(954) 583-4528

NPI assigned

Jul 11, 2013

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, 2010

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Health Care Center for the Homeless IncGroup PAC ID 6103895107, 51 clinicians

Ace Behavioral Health LLCGroup PAC ID 2668984675, 38 clinicians

Citrus County Rural Health IncGroup PAC ID 0648664698, 8 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

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 and National Provider Directory roles.

• Ace Behavioral Health LLC

  • Psychiatry Physician
  • Tampa, FL
  • NPI 1841094885

  Psychologist

  Medicare reassignment Care Compare group NPD
• Citrus County Rural Health Inc

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

  • Federally Qualified Health Center (FQHC)
  • Orlando, FL
  • NPI 1235213216
  Medicare reassignment Care Compare group
• MCR Health, Inc.

  • Federally Qualified Health Center (FQHC)
  • Parrish, FL
  • NPI 1255376000
  Medicare reassignment NPD
• Coastal Community Health Services, Inc.

  • Federally Qualified Health Center (FQHC)
  • Fernandina Beach, FL
  • NPI 1851131874
  Medicare reassignment
• MCR Health, Inc.

  • Non-Pharmacy Dispensing Site
  • Bradenton, FL
  • NPI 1821878745
  NPD
• Life Solutions Psychological Services, P.a.

  • Psychologist
  • Plantation, FL
  • NPI 1104190180
  NPD (past)
• Positive Solutions Psychological Services, PLLC

  • Psychologist
  • Plantation, FL
  • NPI 1285938282
  NPD (past)

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

{
    "created_epoch": "1373500800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1785801600000",
    "number": "1609217280",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4121 NW 5TH ST STE 207",
            "city": "PLANTATION",
            "state": "FL",
            "postal_code": "333172120",
            "telephone_number": "954-583-4568",
            "fax_number": "954-583-4528"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4121 NW 5TH ST",
            "address_2": "SUITE 207",
            "city": "PLANTATION",
            "state": "FL",
            "postal_code": "333172120",
            "telephone_number": "954-583-4568",
            "fax_number": "954-583-4528"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "725 N 12th Ave Bldg B",
            "address_purpose": "LOCATION",
            "city": "Arcadia",
            "state": "FL",
            "postal_code": "342668752",
            "country_code": "US",
            "telephone_number": "863-494-1242",
            "fax_number": "863-993-0108",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1802 E Busch Blvd",
            "address_purpose": "LOCATION",
            "city": "Tampa",
            "state": "FL",
            "postal_code": "336128631",
            "country_code": "US",
            "telephone_number": "813-993-1570",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SHAW",
        "first_name": "CHRISSYL",
        "middle_name": "KANDIS",
        "name_prefix": "Dr.",
        "credential": "PSY.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-07-11",
        "last_updated": "2026-08-04",
        "certification_date": "2026-08-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "FL",
            "license": "PY8765",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Deepika Sharad, DO
• David M Sharaf, MD
• Ahlam Sharifeh, DC
• Ashok K Sharma, MD
• Shasan William Liou, DMD, LLC
• Elizabeth Rachel Shaw, LCSW
• Neiko Shea
• Robert W Shectman, DDS
• Sheeraz Baig DO Inc
• Eshagh Shehniyilagh, PH.D.

• Psychologist in Plantation, FL
• Providers in Plantation, FL by specialty
• Psychologist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 4, 2026; 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.