Kevin B Shacket, PSYD

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

PY10532 Issued in FL

Practice address

3298 Summit Blvd
BLDG 22, Suite D1
Pensacola, FL 32503-8313

Phone

(850) 977-9215

Fax

(850) 662-0511

NPI assigned

Oct 28, 2019

Last updated

Apr 21, 2026By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• KBS Insights LLC

  • Clinical Psychologist
  • Pensacola, FL
  • NPI 1619727690
  NPD Authorized official

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

{
    "created_epoch": "1572220800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1776729600000",
    "number": "1891338307",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3298 SUMMIT BLVD",
            "address_2": "SUITE 22, ROOM D1",
            "city": "PENSACOLA",
            "state": "FL",
            "postal_code": "325038313",
            "telephone_number": "321-303-9593"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3298 SUMMIT BLVD",
            "address_2": "BLDG 22, SUITE D1",
            "city": "PENSACOLA",
            "state": "FL",
            "postal_code": "325038313",
            "telephone_number": "850-977-9215",
            "fax_number": "850-662-0511"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHACKET",
        "first_name": "KEVIN",
        "middle_name": "B",
        "name_prefix": "Dr.",
        "credential": "PSYD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-10-28",
        "last_updated": "2026-04-21",
        "certification_date": "2026-04-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "FL",
            "license": "PY10532",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Michelle Setele
• Brandon Michael Seuzeneau, ATC
• Sara Scrivner Seuzeneau, APRN
• Seville Allergy and Asthma Center, P.a.
• Georgia Linda Sfanos Capel
• Kyle Kit Shaddix, MD
• Meredith Lynn Shaddix, DO
• Linda Ruth Shade, C.R.N.A.
• Clayton J Shaeffer, DC
• Nandita A Shah

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 21, 2026; 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.