Active NPI
Edith Shiro, PSYD
- Clinical Psychologist
- Plantation, FL
National Provider Identifier
1992903785
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- PY7787
- Practice address
- 350 NW 70TH Avenue
Suite a
Plantation, FL 33317 - Phone
- (954) 587-7520
- Fax
- (954) 587-7527
- NPI assigned
- Jul 3, 2007
- Sex
- Female
- 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 | PY7787 | FL | Primary |
Addresses
Primary practice location
350 NW 70TH Avenue
Suite a
Plantation, FL 33317
Mailing address
21200 NE 38TH Avenue
Apt #1402
Miami, FL 33180
Phone (305) 936-0792
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PY7787 | FL | MD | Clinical Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1183420800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1223856000000",
"number": "1992903785",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "21200 NE 38TH AVENUE",
"address_2": "APT #1402",
"city": "MIAMI",
"state": "FL",
"postal_code": "33180",
"telephone_number": "305-936-0792"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "350 NW 70TH AVENUE",
"address_2": "SUITE A",
"city": "PLANTATION",
"state": "FL",
"postal_code": "33317",
"telephone_number": "954-587-7520",
"fax_number": "954-587-7527"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SHIRO",
"first_name": "EDITH",
"name_prefix": "Dr.",
"credential": "PSYD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-07-03",
"last_updated": "2008-10-13",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "FL",
"license": "PY7787",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Plantation, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 13, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.