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SHONDA NIXON PH.D.
NPI 1003896614
Psychologist - Clinical in Philadelphia, PA

Active since January 19, 2006PECOS EnrolledAccepts Medicare Assignment
850 N 11TH ST, PHILADELPHIA, PA 19123(215) 769-1590 Get Directions Write a Review

NPPES record last updated: April 2, 2008. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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

NPI1003896614
Entity TypeIndividualFemale
Primary Taxonomy103TC0700X
Provider Legal NameSHONDA NIXONCredential: PH.D.
Location Address850 N 11TH STPhiladelphia, PA 19123-1957
Mailing Address4700 Wissahickon Ave, Suite 118 Box 110Philadelphia, PA 19144-4248 · (215) 298-0417
Phone(215) 769-1590
Sole ProprietorNo
Medical School CMSOtherGraduated 2002
Enumeration DateJanuary 19, 2006
Last NPPES UpdateApril 2, 2008
✔ NPI 1003896614 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychologist · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code103TC0700X
License✔ Licensed in PA · PS015472
Definition
A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in breadth -- one that is broadly inclusive of severe psychopathology -- and marked by comprehensiveness and integration of knowledge and skill from a broad array of disciplines within and outside of psychology proper. The scope of clinical psychology encompasses all ages, multiple diversities and varied systems.
850 N 11TH ST, Philadelphia, PA 19123
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

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.

PECOS PAC ID4183936065
PECOS Enrollment IDI20150707000791
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

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.

New Patient
$180.99 typical visit price
range $59.88 – $180.99
Typical copayment $45.24 (range $14.97 – $45.24)
Most-billed visit code 99205
Established Patient
$105.21 typical visit price
range $19.30 – $147.29
Typical copayment $26.30 (range $4.82 – $36.82)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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.

MRS. LINDSAY MEEKS EDWARDS
Counselor (Professional)
850 N 11TH ST, STEPHEN & SANDRA SHELLER 11TH STREET FAMILY HEALTH SERV
PHILADELPHIA, PA 19123
Philadelphia County (215) 769-1115
JESSICA SEGAL LCSW
Social Worker (Clinical)
850 N 11TH ST
PHILADELPHIA, PA 19123
Philadelphia County (908) 420-8915
JOANNA RACHEL MARKS CRNP
Nurse Practitioner (Psychiatric/Mental Health)
850 N 11TH ST
PHILADELPHIA, PA 19123
Philadelphia County (215) 769-1100
DEBRA MCGRATH C.R.N.P.
Nurse Practitioner
850 N 11TH ST
PHILADELPHIA, PA 19123
Philadelphia County (215) 769-1100
ELIZABETH BLUNT C.R.N.P.
Nurse Practitioner
850 N 11TH ST
PHILADELPHIA, PA 19123
Philadelphia County (215) 769-1100
LAURA BAEHR DPT
Physical Therapist
850 N 11TH ST
PHILADELPHIA, PA 19123
Philadelphia County (267) 359-5929
RAMSEY EDUCATIONAL DEVELOPMENT INSTITUTE, INC.
Clinic/Center
850 N 11TH ST
PHILADELPHIA, PA 19123
Philadelphia County (215) 769-1100
JORDYN MARIA ROBERSON SAVAGE LPC
Counselor (Professional)
850 N 11TH ST
PHILADELPHIA, PA 19123
Philadelphia County (215) 769-1100

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.

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.