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Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

DR. SHAN PATEL PSYD
NPI 1205674439
Psychologist - Clinical in Tampa, FL

Active since July 22, 2024
4511 N HIMES AVE STE 160, TAMPA, FL 33614(813) 333-0744 Get Directions Write a Review

NPPES record last updated: July 9, 2026. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Jul 9, 2026, Jul 22, 2024 (2 updates tracked since 2024).

About Dr. Shan Patel Psyd NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. SHAN PATEL PSYD (NPI 1205674439) is an individual clinical provider in Tampa, Florida, licensed in Florida (PY12302) and active in the NPI registry since July 2024. He maintains a secondary practice location in St Petersburg.

NPPES Registry Identity

NPI1205674439
Entity TypeIndividualMale
Primary Taxonomy103TC0700X
Provider Legal NameDR. SHAN PATELCredential: PSYD
Location Address4511 N HIMES AVE STE 160Tampa, FL 33614-7005
Mailing Address26246 Wesley Chapel Blvd Unit 191Lutz, FL 33559-7206 · (813) 706-4293
Phone(813) 333-0744
Sole ProprietorNo
Enumeration DateJuly 22, 2024
Last NPPES UpdateJuly 9, 20262 updates tracked since enumeration
NPPES CertifiedJuly 9, 2026
✔ NPI 1205674439 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPsychologist · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code103TC0700X
License✔ Licensed in FL · PY12302
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.
Also ListedClinical NeuropsychologistTaxonomy 103G00000X · License PY12302 (FL)
4511 N HIMES AVE STE 160, Tampa, FL 33614
Open in Google Maps ↗

Secondary Practice Location 1

Location 17901 4th St N Ste 300St Petersburg, FL 33702-4399 · Phone (813) 706-4293

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. HEATHER JASPER PSYD
Clinical Neuropsychologist
4511 N HIMES AVE STE 160
TAMPA, FL 33614
Hillsborough County (941) 216-4700
DR. LINDSEY C NOORDSIJ DPT
Physical Therapist
4511 N HIMES AVE STE 160
TAMPA, FL 33614
Hillsborough County (866) 961-1744

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 Shan Patel's NPI number?

The NPI number for Shan Patel is 1205674439. It was assigned to this individual provider in the NPPES registry on July 22, 2024.

Where is Shan Patel located?

Shan Patel practices at 4511 N Himes Ave Ste 160, Tampa, FL 33614. The listed phone number is (813) 333-0744.

What is Shan Patel's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Clinical, with taxonomy code 103TC0700X.

When was this NPI record last updated?

The NPPES record for Shan Patel was last updated on July 9, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 40 days 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.