Individual provider Active NPI

Sheytophia Renee Cunha, PSYD

  • School Psychologist
  • Lakeland, FL
National Provider Identifier
1760763841
Registry record updated Oct 5, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
School PsychologistTaxonomy code 103TS0200X
License
SS1338 Issued in FL
Practice address
2258 Coachman Loop
Lakeland, FL 33812-4047
Phone
(954) 882-5734
NPI assigned
Sep 2, 2011
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 5, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Analyst 103K00000X
School Psychologist 103TS0200X SS1338 FL Primary

Addresses

Primary practice location

2258 Coachman Loop
Lakeland, FL 33812-4047

Mailing address

2258 Coachman Loop
Lakeland, FL 33812-4047
Phone (954) 882-5734

Other practice location 1

594 Riverside Dr
Coral Springs, FL 33071-7615
Phone (954) 344-6550

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Star Psychology, LLC School CurrentSince Aug 13, 2017 Accepting new patients
Star Psychology, LLC School CurrentSince Aug 13, 2017 Accepting new patients
Creative Community Counseling, Inc. PastSince Jan 2, 2024 Accepting new patients

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1314921600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1601856000000",
    "number": "1760763841",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2258 COACHMAN LOOP",
            "city": "LAKELAND",
            "state": "FL",
            "postal_code": "338124047",
            "telephone_number": "954-882-5734"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2258 COACHMAN LOOP",
            "city": "LAKELAND",
            "state": "FL",
            "postal_code": "338124047",
            "telephone_number": "954-882-5734"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "594 Riverside Dr",
            "address_purpose": "LOCATION",
            "city": "Coral Springs",
            "state": "FL",
            "postal_code": "330717615",
            "country_code": "US",
            "telephone_number": "954-344-6550",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CUNHA",
        "first_name": "SHEYTOPHIA",
        "middle_name": "RENEE",
        "name_prefix": "Dr.",
        "credential": "PSYD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-09-02",
        "last_updated": "2020-10-05",
        "certification_date": "2020-10-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "103TS0200X",
            "taxonomy_group": "",
            "desc": "Psychologist, School",
            "state": "FL",
            "license": "SS1338",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lakeland, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 5, 2020; 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.