Child and Adolescent Psychological and Counseling Services of NW Florida, LLC

Primary specialty

PsychologistTaxonomy code 103T00000X

Legal business name

CHILD AND ADOLESCENT PSYCHOLOGICAL AND COUNSELING SERVICES OF NW FLORIDA, LLC

Practice address

336 Fort Pickens Rd Apt E206
Pensacola Beach, FL 32561-2048

Phone

(850) 207-7671

NPI assigned

Oct 23, 2025

Last updated

Oct 23, 2025By 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

Mr. Douglas Berry Shoumaker, PSYS. LSP, NCSPNPI 1356710339

Title

Psychologist/Owner

Phone

(850) 207-7671

Specialties & licenses 1

Addresses

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.

• Douglas B Shoumaker, LSP, NCSP

  • Psychologist
  • Miami, FL
  • NPI 1356710339
  NPD Authorized official

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

{
    "created_epoch": "1761177600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1761177600000",
    "number": "1700753639",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "336 FORT PICKENS RD APT E206",
            "city": "PENSACOLA BEACH",
            "state": "FL",
            "postal_code": "325612048",
            "telephone_number": "850-207-7671"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "336 FORT PICKENS RD APT E206",
            "city": "PENSACOLA BEACH",
            "state": "FL",
            "postal_code": "325612048",
            "telephone_number": "850-207-7671"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHILD AND ADOLESCENT PSYCHOLOGICAL AND COUNSELING SERVICES OF NW FLORIDA, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-10-23",
        "last_updated": "2025-10-23",
        "certification_date": "2025-10-23",
        "status": "A",
        "authorized_official_last_name": "SHOUMAKER",
        "authorized_official_first_name": "DOUGLAS",
        "authorized_official_middle_name": "BERRY",
        "authorized_official_title_or_position": "PSYCHOLOGIST/OWNER",
        "authorized_official_telephone_number": "850-207-7671",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "PSYS. LSP, NCSP"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Samarpan Ananda, DC
• Martin Alberto Arrisueno, M.D.
• Susan Carol Bane, PHYSICAL THERAPIST
• James C Chaney, A.R.N.P.
• Bonnie Dansby, NURSE PRACTITIONER
• Mark W. Ernest, M.D.
• Diana Galvis, INTERPRETER
• Mauricio Garzon, INTERPRETER
• Gulf Coast Mobile Medical Care LLC (Gulf Coast Mobile Medical Care)

• Psychologist in Pensacola Beach, FL
• Providers in Pensacola Beach, FL by specialty
• Psychologist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 23, 2025; 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.