Shawn Allen Carter, PH.D.

Primary specialty

PsychologistTaxonomy code 103T00000X

License

PY9199 Issued in FL

Practice address

618 E South St
Orlando, FL 32801-2986

Phone

(407) 425-5100

NPI assigned

Nov 8, 2016

Sex

Male

Sole proprietor

Yes

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)

Enrolled

Credentials

Doctor of Philosophy

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

{
    "created_epoch": "1478563200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1484524800000",
    "number": "1972045953",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "618 E SOUTH ST",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328012986",
            "telephone_number": "407-425-5100"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "618 E SOUTH ST",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328012986",
            "telephone_number": "407-425-5100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CARTER",
        "first_name": "SHAWN",
        "middle_name": "ALLEN",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2016-11-08",
        "last_updated": "2017-01-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "FL",
            "license": "PY9199",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kelsey Lyn Carter, MSN, AGPCNP-BC
• Kirsten Brokamp Carter, M.D.
• Marla R. Carter, D.O.
• Rebecca Johnson Carter, NP
• Richard Carter, RPH
• Stefonjanae Carter
• Teresa Marie Carter, CCC-SLP
• Terrence Carter, M.D.
• Cassandra Carti
• Faith Cartright

• Psychologist in Orlando, FL
• Providers in Orlando, FL by specialty
• Psychologist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 16, 2017; 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.