Shane Lynn ( S&D Behavioral Health)

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

Legal business name

SHANE LYNN ( S&D BEHAVIORAL HEALTH)

Practice address

2710 Alternate 19 N 403B
Palm Harbor, FL 34683-3203

Phone

(727) 275-3601

NPI assigned

Jan 7, 2019

Organization subpart

No

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

Authorized official

Name

Shane Lynn, ARNPNPI 1679924146

Title

Psychiatric Nurse Practitioner

Phone

(727) 641-4435

Specialties & licenses 1

Addresses

Other names 1

• S&D Behavioral Health LLC Doing business as

Electronic endpoints 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Shane Lynn, PMHNP-BC

  • Psychiatric/Mental Health Nurse Practitioner
  • Palm Harbor, FL
  • NPI 1679924146
  NPD Authorized official

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

{
    "created_epoch": "1546819200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1638489600000",
    "number": "1770056384",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2710 ALTERNATE 19 N 403B",
            "city": "PALM HARBOR",
            "state": "FL",
            "postal_code": "346833203",
            "telephone_number": "727-275-3601"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2710 ALTERNATE 19 N 403B",
            "city": "PALM HARBOR",
            "state": "FL",
            "postal_code": "346833203",
            "telephone_number": "727-275-3601"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2710 Alternate 19 N",
            "address_2": "403B",
            "address_purpose": "LOCATION",
            "city": "Palm Harbor",
            "state": "FL",
            "postal_code": "34683",
            "country_code": "US",
            "telephone_number": "727-275-3601",
            "fax_number": "727-238-8137",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "SHANE LYNN ( S&D BEHAVIORAL HEALTH)",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-01-07",
        "last_updated": "2021-12-03",
        "certification_date": "2021-11-24",
        "status": "A",
        "authorized_official_last_name": "LYNN",
        "authorized_official_first_name": "SHANE",
        "authorized_official_title_or_position": "PSYCHIATRIC NURSE PRACTITIONER",
        "authorized_official_telephone_number": "727-641-4435",
        "authorized_official_credential": "ARNP"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "https://shanekl.wixsite.com/website",
            "affiliation": "N",
            "endpointDescription": "website",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "2710 Alternate 19 N",
            "address_2": "403B",
            "city": "Palm Harbor",
            "state": "FL",
            "country_code": "US",
            "postal_code": "34683",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "S&D Behavioral Health LLC",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "S&D Behavioral Health LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Badal Sunil Shah, D.O.
• Pooja R Shah
• Germin W Shaker
• Marko Shaker
• Michael M Shaker
• Timothy Richard Shaner, PAC
• Lauri A. Shannon, LCSW
• Jerrold Sharkey, MD
• Kathleen Shea, PH.D.
• Mary Eileen Sheahan, LCSW

• Psychiatric/Mental Health Nurse Practitioner in Palm Harbor, FL
• Providers in Palm Harbor, FL by specialty
• Psychiatric/Mental Health Nurse Practitioner in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 3, 2021; 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.