Patel Concussion Institute

Primary specialty

Clinical NeuropsychologistTaxonomy code 103G00000X

Legal business name

PATEL CONCUSSION INSTITUTE

Practice address

7901 4TH St N Ste 300
Saint Petersburg, FL 33702-4399

Phone

(813) 706-4293

NPI assigned

Aug 18, 2026

Last updated

Aug 18, 2026By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Shan Patel, PSYDNPI 1205674439

Title

Owner/Ceo

Phone

(315) 882-8299

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Shan Patel, PSYD

  • Clinical Psychologist
  • Tampa, FL
  • NPI 1205674439
  Authorized official Same address or phone

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

{
    "created_epoch": "1787011200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1787011200000",
    "number": "1982519443",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18318 SERENE LAKE LOOP",
            "city": "LUTZ",
            "state": "FL",
            "postal_code": "335487505"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7901 4TH ST N STE 300",
            "city": "SAINT PETERSBURG",
            "state": "FL",
            "postal_code": "337024399",
            "telephone_number": "813-706-4293"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PATEL CONCUSSION INSTITUTE",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-08-18",
        "last_updated": "2026-08-18",
        "certification_date": "2026-08-18",
        "status": "A",
        "authorized_official_last_name": "PATEL",
        "authorized_official_first_name": "SHAN",
        "authorized_official_title_or_position": "OWNER/CEO",
        "authorized_official_telephone_number": "315-882-8299",
        "authorized_official_credential": "PSYD"
    },
    "taxonomies": [
        {
            "code": "103G00000X",
            "taxonomy_group": "",
            "desc": "Clinical Neuropsychologist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sara Kathryn Pastman, ARNP
• Jennifer Pastor
• Robert Stephen Pastorius, D.D.S.
• John Allan Pate, B.A.
• Mariah Barker Pate, MD
• Kaajal Patel Tan
• Akash Patel, M.D.
• Alexis Patel
• Ameet P Patel, MD
• Amish Patel, M.D.

• Clinical Neuropsychologist in St Petersburg, FL
• Providers in St Petersburg, FL by specialty
• Clinical Neuropsychologist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 18, 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.