SHONDA NIXON PH.D.
NPI 1003896614
Psychologist - Clinical in Philadelphia, PA
About Shonda Nixon Ph.d. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
SHONDA NIXON PH.D. (NPI 1003896614) is an individual clinical provider in Philadelphia, Pennsylvania, licensed in Pennsylvania (PS015472) and active in the NPI registry since January 2006. She is enrolled in Medicare PECOS and is a graduate of Other (2002).
NPPES Registry Identity
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Shonda Nixon Ph.d. is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.
Medicare Billing Reassignments
2Medicare enrollment records show Shonda Nixon reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Philadelphia, PA 19123
- Reassigned Medicare billing, Pennsylvania enrollment
- Medicare enrollment name: Resources For Human Development, Inc
- 121 clinicians in this Medicare group
King Of Prussia, PA 19406
- Reassigned Medicare billing, Pennsylvania enrollment
- 56 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 19123 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Other Providers at the Same Location NPPES 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
PHILADELPHIA, PA 19123
PHILADELPHIA, PA 19123
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Shonda Nixon's NPI number?
The NPI number for Shonda Nixon is 1003896614. It was assigned to this individual provider in the NPPES registry on January 19, 2006.
Where is Shonda Nixon located?
Shonda Nixon practices at 850 N 11th St, Philadelphia, PA 19123. The listed phone number is (215) 769-1590.
What is Shonda Nixon's specialty?
The primary specialty registered for this NPI is Psychologist, specializing in Clinical, with taxonomy code 103TC0700X.
Is Shonda Nixon enrolled in Medicare?
Yes. Shonda Nixon is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.
Which organizations bill Medicare for Shonda Nixon's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Shonda Nixon reassigns Medicare benefits to 2 organizations: Family Practice & Counseling Services Network, Inc. (Philadelphia, PA) and Che Senior Care Therapy Services PC (King Of Prussia, PA). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Shonda Nixon's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
When was this NPI record last updated?
The NPPES record for Shonda Nixon was last updated on April 2, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Shonda Nixon, PH.D. · NPI 1003896614
Clinical provider in Philadelphia, Pennsylvania. Individual provider, active in the CMS NPPES registry since January 19, 2006.
## Identity
- **NPI:** 1003896614 (Entity type: Individual)
- **Enumerated:** January 19, 2006
- **Primary specialty:** Psychologist - Clinical · taxonomy 103TC0700X
- **State license:** PS015472 (Pennsylvania)
- **Sole proprietor:** No
## Practice location
- **Address:** 850 N 11TH ST, Philadelphia, PA 19123-1957
- **Phone:** (215) 769-1590
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment
- **Bills Medicare through:** 2 organizations under Medicare reassignment (form CMS-855R): Family Practice & Counseling Services Network, Inc. (NPI 1356335129, Philadelphia, PA); Che Senior Care Therapy Services PC (NPI 1144666496, King Of Prussia, PA) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2002
## Record status
- **NPPES last updated:** April 2, 2008
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Source: [NPI Profile](https://npiprofile.com/npi/1003896614) · Data from the CMS NPPES public registry.