Shana Williams, PSY.D.

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

PY5937 Issued in FL

Practice address

2800 West Oakland Park Blvd.
Suite 306
Oakland Park, FL 33311

Phone

(954) 731-7200

Fax

(954) 485-6336

NPI assigned

Oct 3, 2006

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Female

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

Enrolled in FL2 enrollments

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 2

Specialty

Clinical Psychologist

Education

Other, 1998

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

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.

• Shana J. Williams, Psy.D., LLC

  • Psychologist
  • Sunrise, FL
  • NPI 1295186120
  Medicare reassignment Authorized official

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

{
    "created_epoch": "1159833600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1922193499",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2800 WEST OAKLAND PARK BLVD.",
            "address_2": "SUITE 306",
            "city": "OAKLAND PARK",
            "state": "FL",
            "postal_code": "33311",
            "telephone_number": "954-731-7200",
            "fax_number": "954-485-6336"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2800 WEST OAKLAND PARK BLVD.",
            "address_2": "SUITE 306",
            "city": "OAKLAND PARK",
            "state": "FL",
            "postal_code": "33311",
            "telephone_number": "954-731-7200",
            "fax_number": "954-485-6336"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILLIAMS",
        "first_name": "SHANA",
        "name_prefix": "Dr.",
        "credential": "PSY.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-03",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "FL",
            "license": "PY5937",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• William J Moran DC PA (Prospect Family Chiropractic Center)
• Williams Pharmacies LLC (LibraSun Pharmacy)
• Williams Pharmacies LLC (Libra Sun Pharmacy)
• Karen Marie Williams, M.D.
• Michael Williams
• Tonya Lorise Williams
• WJC Products and Services LLC
• Ross Wodicka, MD
• David Garcia Wood
• John Bryon Wright, LMHC

• Clinical Psychologist in Oakland Park, FL
• Providers in Oakland Park, FL by specialty
• Clinical Psychologist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.

Verify at the official NPI Registry.