DR. CHRISSYL KANDIS SHAW PSY.D.
NPI 1609217280
Psychologist in Plantation, FL

Active since July 11, 2013PECOS EnrolledAccepts Medicare Assignment
4121 NW 5TH ST, SUITE 207, PLANTATION, FL 33317(954) 583-4568(954) 583-4528 Get Directions Write a Review

NPPES record last updated: August 4, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Dr. Chrissyl Kandis Shaw Psy.d. NPPES

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

DR. CHRISSYL KANDIS SHAW PSY.D. (NPI 1609217280) is an individual psychologist in Plantation, Florida, licensed in Florida (PY8765) and active in the NPI registry since July 2013. She is enrolled in Medicare PECOS, maintains 2 additional practice locations, and is a graduate of Other (2010).

NPPES Registry Identity

NPI1609217280
Entity TypeIndividualFemale
Primary Taxonomy103T00000X
Provider Legal NameDR. CHRISSYL KANDIS SHAWCredential: PSY.D.
Location Address4121 NW 5TH ST, SUITE 207Plantation, FL 33317-2120
Mailing Address4121 Nw 5th St Ste 207Plantation, FL 33317-2120 · (954) 583-4568 · Fax (954) 583-4528
Fax(954) 583-4528
Sole ProprietorYes
Medical School CMSOtherGraduated 2010
Enumeration DateJuly 11, 2013
Last NPPES UpdateAugust 4, 2026
NPPES CertifiedAugust 4, 2026
✔ NPI 1609217280 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychologistBehavioral Health & Social Service Providers
Taxonomy Code103T00000X
License✔ Licensed in FL · PY8765
Definition
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.
4121 NW 5TH ST, Plantation, FL 33317

Secondary Practice Locations 2

Location 1725 N 12th Ave Bldg BArcadia, FL 34266-8752 · Phone (863) 494-1242 · Fax (863) 993-0108
Location 21802 E Busch BlvdTampa, FL 33612-8631 · Phone (813) 993-1570

Accepted Insurance

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

Dr. Chrissyl Kandis Shaw Psy.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 ID3870819428
PECOS Enrollment IDI20150226000794
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.

Medicare Billing Reassignments

6

Medicare enrollment records show Chrissyl Shaw reassigns Medicare billing to 6 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Federally Qualified Health Center (FQHC)
2711 N ORANGE BLOSSOM TRL STE A
Kissimmee, FL 34744
  • Reassigned Medicare billing, Florida enrollment
  • 109 clinicians in this Medicare group
Federally Qualified Health Center (FQHC)
12271 US HIGHWAY 301 N
Parrish, FL 34219
  • Reassigned Medicare billing, Florida enrollment
  • 709 clinicians in this Medicare group
190 mi
Family Medicine
1802 E BUSCH BLVD
Tampa, FL 33612
  • Reassigned Medicare billing, Florida enrollment
  • 2 clinicians in this Medicare group
Psychiatry
5406 HOOVER BLVD STE 18
Tampa, FL 33634
  • Reassigned Medicare billing, Florida enrollment
  • 108 clinicians in this Medicare group
Federally Qualified Health Center (FQHC)
927 N CITRUS AVE
Crystal River, FL 34428
  • Reassigned Medicare billing, Florida enrollment
  • 86 clinicians in this Medicare group
Federally Qualified Health Center (FQHC)
22385 FLORA PARK CROSSING DRIVE
Fernandina Beach, FL 32034
  • Reassigned Medicare billing, Florida enrollment
  • 93 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.

Areas of Expertise CMS Part B claims 2

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Psychotherapy, 30 minutes 90832
Psychotherapy is a therapeutic interaction or treatment between a trained professional and a patient. In a 30-minute session, the therapist helps you explore feelings, thoughts, and behaviors to better understand yourself and manage life's challenges.
223 services85 patients
Psychiatric diagnostic evaluation 90791
A psychiatric diagnostic evaluation is a thorough assessment used to identify any mental health conditions you may have. It involves a detailed discussion about your symptoms, thoughts, feelings and behavior patterns. Your medical history and family's mental health history are also considered.
34 services34 patients

Other Providers at the Same Location NPPES 9

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

Chiropractor
4121 NW 5TH ST, STE 215
PLANTATION, FL 33317
Marriage & Family Therapist
4121 NW 5TH ST, SUITE #206
PLANTATION, FL 33317
Psychologist
4121 NW 5TH ST, SUITE 207
PLANTATION, FL 33317
Community/Behavioral Health
4121 NW 5TH ST, 206
PLANTATION, FL 33317
Psychologist
4121 NW 5TH ST, SUITE 207
PLANTATION, FL 33317
Behavior Analyst
4121 NW 5TH ST
PLANTATION, FL 33317
Family Medicine
4121 NW 5TH ST, SUITE 215
PLANTATION, FL 33317
Legal Medicine
4121 NW 5TH ST, 215
PLANTATION, FL 33317

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 Chrissyl Shaw's NPI number?

The NPI number for Chrissyl Shaw is 1609217280. It was assigned to this individual provider in the NPPES registry on July 11, 2013.

Where is Chrissyl Shaw located?

Chrissyl Shaw practices at 4121 NW 5th St Suite 207, Plantation, FL 33317. The listed phone number is (954) 583-4568.

What is Chrissyl Shaw's specialty?

The primary specialty registered for this NPI is Psychologist with taxonomy code 103T00000X.

Is Chrissyl Shaw enrolled in Medicare?

Yes. Chrissyl Shaw 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 Chrissyl Shaw's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Chrissyl Shaw reassigns Medicare benefits to 6 organizations: Health Care Center For The Homeless, Inc. (Kissimmee, FL), Mcr Health, Inc. (Parrish, FL), Vibrantmd (Tampa, FL), Ace Behavioral Health LLC (Tampa, FL), Citrus County Rural Health Inc (Crystal River, FL) and 1 more organization, listed in the Medicare section above. 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 Chrissyl Shaw's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Chrissyl Shaw accept?

Health plans from Cigna HealthCare of Florida, Inc., Cigna Healthcare, Florida Blue (BlueCross BlueShield FL), Florida Blue HMO (a BlueCross BlueShield FL company) and Molina Healthcare and 2 other insurers list Chrissyl Shaw as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Chrissyl Shaw was last updated on August 4, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 months 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.