Shelly Khaldi, Psychotherapy

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

Legal business name

SHELLY KHALDI, PSYCHOTHERAPY

Practice address

1304 South Desoto Avenue Suite 204
2144 Seven Springs Boulevard
Trinity, FL 34655

Phone

(727) 992-0038

NPI assigned

Oct 20, 2022

Last updated

Oct 20, 2022By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Shelly Khaldi, LMHCNPI 1104024587

Title

Psychotherapist

Phone

(727) 992-0038

Specialties & licenses 1

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.

• Shelly Rae Khaldi, LMHC

  • Mental Health Counselor
  • Tampa, FL
  • NPI 1104024587
  NPD Authorized official

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

{
    "created_epoch": "1666224000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1666224000000",
    "number": "1700503802",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3228 PICCARD LOOP",
            "city": "NEW PORT RICHEY",
            "state": "FL",
            "postal_code": "346553206",
            "telephone_number": "727-992-0038"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1304 SOUTH DESOTO AVENUE SUITE 204",
            "address_2": "2144 SEVEN SPRINGS BOULEVARD",
            "city": "TRINITY",
            "state": "FL",
            "postal_code": "34655",
            "telephone_number": "727-992-0038"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2144 Seven Spgs Blvd",
            "address_purpose": "LOCATION",
            "city": "Trinity",
            "state": "FL",
            "postal_code": "346553910",
            "country_code": "US",
            "telephone_number": "727-992-0038",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "SHELLY KHALDI, PSYCHOTHERAPY",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-10-20",
        "last_updated": "2022-10-20",
        "certification_date": "2022-10-14",
        "status": "A",
        "authorized_official_last_name": "KHALDI",
        "authorized_official_first_name": "SHELLY",
        "authorized_official_title_or_position": "PSYCHOTHERAPIST",
        "authorized_official_telephone_number": "727-992-0038",
        "authorized_official_credential": "LMHC"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Victoria Thompson Sferra, PA-C
• Monica Shah, D.O
• Zaynah Shahab
• Shannon Cook. PH.D.
• Hasin Sharma, DO
• Amir Shirmohammad, M.D.
• Patricia A Short, RPH
• Rita Shoukry, PHARMD
• Justin D Shuman, DPT
• Alexander George Sidhom, MD

• Mental Health Counselor in Trinity, FL
• Providers in Trinity, FL by specialty
• Mental Health Counselor in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 20, 2022; 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.