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Dr. Shandra Anicia Davis , PsyD

Psychologist β€’ Pinellas Park, FL

Active NPI 1205190592 Individual Practitioner Female Practitioner
Practice location in NPPES

10707 66th St N Ste 7
Pinellas Park, FL 337822336

Call 8135861529 Location details and other listings
Medical Disclaimer

This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.

Practice Location & Contact Primary Location

Practice Address

10707 66th St N Ste 7

Pinellas Park, FL 337822336

Telephone 8135861529
Fax 7273000221
Other Listings in Public Data

NPPES lists 1 additional practice-address record in Tampa, FL. See the list

Source: CMS NPPES NPI Registry, practice location records; release date unavailable.

Listings do not confirm current availability, employment or a shared ownership network.

NPI first issued

2012

The year this clinician's National Provider Identifier (NPI) was issued. An NPI is a unique 10-digit ID that US health care providers use for billing.

What this does not show: NPI first issued

NPIs have been issued only since 2005, so this year is not necessarily when the clinician started practicing.

Source: CMS NPPES NPI Registry.

Medicare assignment not listed

CMS data do not show whether this clinician accepts Medicare assignment. This does not mean they do not accept Medicare. Ask the office.

Medicare assignment applies to Original Medicare. It does not tell you whether the clinician is in a Medicare Advantage plan's network, accepts other insurance, or is taking new patients.

Source: CMS Doctors and Clinicians; Medicare.gov, β€œDoes your provider accept Medicare as full payment?”

Guide: What Medicare assignment means

No telehealth indicator

CMS shows this indicator only when recent Medicare claims include telehealth services. The clinician may still offer telehealth; ask the office.

Source: CMS, Telehealth Indicator on Medicare Care Compare (fact sheet, January 2023); CMS Doctors and Clinicians.

Guide: How Medicare covers telehealth

Compared with the same specialty in Pinellas Park and Florida

5 active clinicians are listed under Psychologist with a practice address in Pinellas Park, FL (2,204 in Florida).

Addresses are self-reported to NPPES and may be out of date.

Sources: CMS Doctors and Clinicians, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.

Text: T-MedInfo Β· Report an error.

Specialties & License Numbers Reported to NPPES

Self-certified to NPPES: 2022-11-30
Psychologist Primary Specialty

NUCC Taxonomy Code: 103T00000X

A psychologist is an individual who is licensed to practice psychology which is defined as the observation, description, evaluation, interpretation, and modification of human behavior by the application of psychological principles, methods, and procedures, for the purpose of preventing or eliminating symptomatic, maladaptive, or undesired behavior and of enhancing interpersonal relationships, work and life adjustment, personal effectiveness, behavioral health, and mental health. The practice of psychology includes, but is not limited to, psychological testing and the evaluation or assessment of personal characteristics, such as intelligence, personality, abilities, interests, aptitudes, and neuropsychological functioning; counseling, psychoanalysis, psychotherapy, hypnosis, biofeedback, and behavior analysis and therapy; diagnosis and treatment of mental and emotional disorder or disability, alcoholism and substance abuse, disorders of habit or conduct, as well as of the psychological aspects of physical illness, accident, injury, or disability; and psycheducational evaluation, therapy, remediation, and consultation. Psychological services may be rendered to individuals, families, groups and the public.

Counselor - Mental Health

NUCC Taxonomy Code: 101YM0800X

Check License Status with the State Board License numbers are self-reported to NPPES; T-MedInfo does not confirm them against state records. Current status: Florida Department of Health Medical Quality Assurance.
Look Up on State Board Site

Secondary Practice Locations

2111 W Swann Ave Ste 204

Tampa, FL 336062478

Phone: 8136022312

Career & Practice History Timeline

Changes recorded in monthly NPPES data files: addresses, names, credentials, specialties and NPI status

8 Historical Events
πŸ“
Updated Practice Location November 30, 2022

Registered at 10707 66TH ST N STE 7, PINELLAS PARK, FL 337822336 (Tel: 8135861529)

πŸ“
Updated Business Mailing Address November 30, 2022

Registered at 10707 66TH ST N STE 7, PINELLAS PARK, FL 337822336 (Tel: 8135861529)

βœ…
NPI Profile Active April 25, 2013

NPI status registered as active in NPPES database

πŸ“
Practice Location (Initial Record) April 25, 2013

Registered at 3930 W DR MARTIN LUTHER KING JR BLVD, LES PETERS HALFWAY HOUSE, TAMPA, FL 336148404 (Tel: 7272548115)

πŸ“
Business Mailing Address (Initial Record) April 25, 2013

Registered at 3930 W. MARTIN LUTHER KING BLVD., LES PETERS HALFWAY HOUSE, TAMPA, FL 33614 (Tel: 7272548115)

πŸ‘€
Provider Name / Credentials (Initial Record) April 25, 2013

Recorded as SHANDRA DAVIS, PSY.D.

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) April 25, 2013

Counselor

🟒
Initial NPI Registration & Enumeration July 02, 2012

First registered as active Individual Practitioner in NPPES Database.

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NPI Administrative Meta

NPI Number: 1205190592
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: July 02, 2012
Last Update: November 30, 2022
Sole Proprietor: Yes

Mailing Address

10707 66th St N Ste 7

Pinellas Park, FL 337822336

Phone: 8135861529

About This Data NPPES fields (address, phone, specialty, license) are self-reported and may be outdated; Medicare fields follow the CMS dataset named in each section. Correct directly at NPPES.