DR. POOJA SHASTRI (NPI# 1932656899) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1932656899 |
| Entity Type | Individual |
| Full Name | DR. POOJA SHASTRI |
| Credential | PSY.D |
| Practice Address |
13430 Parker Commons Blvd Ste 101 Fort Myers FL 33912-1812 |
| Mailing Address |
3606 Treasure Cove Cir Naples FL 34114-3983 |
| Practice Telephone | 2395619955 |
| Practice Fax Number | 2395619779 |
| Enumeration Date | 2016-09-07 |
| Last Update Date | 2020-03-06 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 103TA0700X |
Psychologist Specialization: Adult Development & Aging |
PY 9643 | FL | Behavioral Health & Social Service Providers |
| Y | 103TC0700X |
Psychologist Specialization: Clinical |
PY 9643 | FL | Behavioral Health & Social Service Providers |
| Street Address |
13430 PARKER COMMONS BLVD STE 101 |
| City | FORT MYERS |
| State | FL |
| Zip Code | 33912-1812 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891334157 | Pooja Shastri, Psy.d., P.a. | Psychologist | 13430 Parker Commons Blvd Ste 101, Fort Myers, FL 33912-1812 | 2020-01-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134684814 | Performance Health Surgery Center | Clinic/Center | 9500 Gulf Research Lane, Fort Myers, FL 33912 | 2019-02-06 |
| 1609351899 | Voa Lee County Health Care Facility, Inc. | Skilled Nursing Facility | 14750 Hope Center Loop, Ft. Myers, FL 33912 | 2018-10-03 |
| 1245719954 | Lauren Grimes | Pharmacist | 13711 S Tamiami Trail, Fort Myers, FL 33912 | 2018-08-13 |
| 1972080828 | Solaris Rehab, LLC | Clinic/Center | 14001 Metro Parkway, Fort Myers, FL 33912 | 2018-07-24 |
| 1467943803 | Marie Veronica Scott | Nurse Practitioner | 14015 Danpak Loop, Fort Myers, FL 33912 | 2018-05-22 |
| 1952892291 | Daniels Modern Dentistry, Pa | Dentist | 6871 Daniels Parkway, Suite 100, Fort Myers, FL 33912 | 2018-05-22 |
| 1295258994 | Julie Ann Jakobi | Counselor | 18 Quanery Court, Fort Myers, FL 33912 | 2017-07-25 |
| 1205359908 | Maria Reyes | Developmental Therapist | 8961 Daniels Center Drive Suite 401, Fort Myers, FL 33912 | 2017-07-25 |
| 1669919288 | Darinka Ruiz | Social Worker | 961 Daniels Center Drive, Suite 401, Fort Myers, FL 33912 | 2017-01-20 |
| 1730622598 | Valerie Starnes | Nurse Practitioner | 13411 Parker Commons Blvd Ste 101, Fort Myers, FL 33912 | 2016-11-28 |
| Find all providers in zip 33912 | ||||
| Taxonomy Code | 103TC0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Clinical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679028211 | Danielle Dance | Psychologist | 13565 American Colony Blvd, Fort Myers, FL 33912-5681 | 2016-08-24 |
| 1841673100 | Samantha Denboer | Psychologist | 13774 Plantation Rd Ste 105, Fort Myers, FL 33912-4461 | 2015-07-06 |
| 1700217429 | David James Koehn | Psychologist | 8359 Beacon Blvd Ste 301, Fort Myers, FL 33907-3059 | 2013-12-05 |
| 1326485707 | Leighann S Wong | Psychologist | 8359 Beacon Blvd Ste 503, Fort Myers, FL 33907 | 2013-05-26 |
| 1376855684 | Zenaida Paula | Psychologist | 10501 6 Mile Cypress Pkwy, Ste 115, Fort Myers, FL 33966-6400 | 2010-07-02 |
| 1922248160 | Ana Leticia Gontijo Lopes | Psychologist | 13430 Parker Commons Blvd, 101, Fort Myers, FL 33912-1812 | 2009-02-28 |
| 1184871568 | Emily C Ptaszek Psyd Pa | Psychologist | 5245 Ramsey Way, Suite 1, Fort Myers, FL 33907-2124 | 2008-08-27 |
| 1740490630 | Thomas Richard Peate | Psychologist | 2908 Nelson St, Fort Myers, FL 33901-6020 | 2007-05-22 |
| 1487780938 | Christina Hansen Cohen | Psychologist | 4301 Veronica S Shoemaker Blvd Ste B, Fort Myers, FL 33916-2216 | 2007-02-26 |
| 1861559346 | David S. Geiser, Ph.d., P.a. | Psychologist | 1950 Courtney Dr, Suite 2, Fort Myers, FL 33901-9034 | 2007-01-03 |
| Find all providers in FORT MYERS | ||||
| City | FORT MYERS |
| Zip Code | 33912 |
Please comment or provide details below to improve the information on DR. POOJA SHASTRI.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.