Active NPI
Majid A Shams, PH.D.
- Clinical Psychologist
- Wellington, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- PY4959
- Practice address
- 1035 S State Road 7
Suite 315-11
Wellington, FL 33414-6134 - Phone
- (561) 753-5997
- NPI assigned
- Jan 23, 2006
- Last updated
- Mar 5, 2014
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | PY4959 | FL | Primary |
Addresses
Primary practice location
1035 S State Road 7
Suite 315-11
Wellington, FL 33414-6134
Mailing address
15940 Pine Strand CT
Wellington, FL 33414-6365
Phone (561) 753-5997
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Clinical Psychologist
- Education
- Other, 1990
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1035 S State Rd
7 Suite 315 11
Wellington, FL 33414-6134
15940 Pine Strand Court
Wellington, FL 33414-6365
15940 Pine Strand CT
Wellington, FL 33414-6365
315 S Flagler Dr
West Palm Beach, FL 33401-5613
Phone (561) 249-7835
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PY4959 | FL | MD | Clinical Psychologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Cotler Healthcare & Development Inc. | Clinical | Current | Accepting new patients |
| Majid a. Shams, PHD, PA | Clinical | Current | Accepting new patients |
Locations
901 S 62nd Ave
Hollywood, FL 33023
Phone (954) 893-0109
9835 Lake Worth Rd
Ste 16179
Lake Worth, FL 33467
12788 Forest Hill Blvd
Ste 1002
Wellington, FL 33414
Phone (561) 753-5997
315 S Flagler Dr
West Palm Beach, FL 33401
Phone (561) 655-8544
Organizations & group practices 2
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.
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Wellington, FL
- NPI 1225075047
Clinical
-
- Clinical Psychologist
- Wellington, FL
- NPI 1881995652
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1137974400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1393977600000",
"number": "1922078179",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "15940 PINE STRAND CT",
"city": "WELLINGTON",
"state": "FL",
"postal_code": "334146365",
"telephone_number": "561-753-5997",
"fax_number": "561-795-4897"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1035 S STATE ROAD 7",
"address_2": "SUITE 315-11",
"city": "WELLINGTON",
"state": "FL",
"postal_code": "334146134",
"telephone_number": "561-753-5997"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SHAMS",
"first_name": "MAJID",
"middle_name": "A",
"name_prefix": "Dr.",
"credential": "PH.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-01-23",
"last_updated": "2014-03-05",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "FL",
"license": "PY4959",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Wellington, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 5, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.