Individual provider Active NPI

Shalini Katyal, M.D.

  • Psychiatry Physician
  • Weston, FL
National Provider Identifier
1972713774
Registry record updated Sep 20, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
ME 97759 Issued in FL
Practice address
2893 Executive Park Dr Ste 110
Weston, FL 33331-3666
Phone
(954) 869-2140
NPI assigned
May 23, 2007
Last updated
Sep 20, 2024By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 20, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X ME 97759 FL Primary

Addresses

Primary practice location

2893 Executive Park Dr Ste 110
Weston, FL 33331-3666

Mailing address

2893 Executive Park Dr Ste 110
Weston, FL 33331-3666
Phone (954) 869-2140

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: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20190607000834 FL Practitioner - Psychiatry 4082947957 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Psychiatry
Education
Other, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Neuro Wellness Centers of America, LLCGroup PAC ID 9537407382, 6 clinicians

Practice addresses (Care Compare)

2893 Executive Park Dr
Suite 110
Weston, FL 33331-3666
Phone (954) 869-2140

9734 W Sample Rd
Coral Springs, FL 33065-4004
Phone (954) 903-1323

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
ME 97759FLMDPsychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Neuro Wellness Centers of America, LLC CurrentSince Mar 18, 2021 Accepting new patients
Doctor's Best TMS & Psychiatry Psychiatry CurrentSince Sep 19, 2024 Accepting new patients
Total Family Health Care Center Inc Psychiatry Past Accepting new patients

Locations

9734 W Sample Rd
Coral Springs, FL 33065
Phone (954) 903-1323

2893 Executive Park Dr
Ste 110
Weston, FL 33331
Phone (954) 869-2140

Networks

  • Freedom Health HMO Network

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1179878400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1726790400000",
    "number": "1972713774",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2893 EXECUTIVE PARK DR STE 110",
            "city": "WESTON",
            "state": "FL",
            "postal_code": "333313666",
            "telephone_number": "954-869-2140"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2893 EXECUTIVE PARK DR STE 110",
            "city": "WESTON",
            "state": "FL",
            "postal_code": "333313666",
            "telephone_number": "954-869-2140"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KATYAL",
        "first_name": "SHALINI",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-05-23",
        "last_updated": "2024-09-20",
        "certification_date": "2024-09-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "FL",
            "license": "ME 97759",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Weston, FL

Sources for this page

Verify at the official NPI Registry.