Newly Listed Provider — this NPI profile has been added to the NPI registry within the last 90 days.

MR. SHANE YASIN FAROUK MSN, APRN, PMHNP-BC
NPI 1740196344
Nurse Practitioner - Psychiatric/Mental Health in Hollywood, FL

Q: What is Shane Farouk's NPI number?

The NPI number for Shane Farouk is 1740196344. It was assigned to this individual provider in the NPPES registry on August 22, 2026.

Q: What is Shane Farouk's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

Q: When was this NPI record last updated?

The NPPES record for Shane Farouk was last updated on August 22, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.

Active since August 22, 2026

1201 N 37TH AVE STE 100, HOLLYWOOD, FL 33021(754) 777-5600 Get Directions Write a Review

NPPES record added: August 22, 2026. Verified against the NPPES registry weekly; last sync: August 23, 2026.

On this page

About Mr. Shane Yasin Farouk Msn, Aprn, Pmhnp-bc NPPES

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

MR. SHANE YASIN FAROUK MSN, APRN, PMHNP-BC (NPI 1740196344) is an individual psychiatric/mental health provider in Hollywood, Florida, licensed in Florida (11050249) and active in the NPI registry since August 2026.

NPPES Registry Identity

NPI1740196344

Entity TypeIndividualMale

Primary Taxonomy363LP0808X

Provider Legal NameMR. SHANE YASIN FAROUKCredential: MSN, APRN, PMHNP-BC

Location Address1201 N 37TH AVE STE 100Hollywood, FL 33021-5414

Mailing Address1201 N 37th Ave Ste 100Hollywood, FL 33021-5414 · (754) 777-5600

Phone(754) 777-5600

Sole ProprietorNo

Enumeration DateAugust 22, 2026

NPPES CertifiedAugust 22, 2026

✔ NPI 1740196344 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LP0808X

License✔ Licensed in FL · 11050249

1201 N 37TH AVE STE 100, Hollywood, FL 33021

Open in Google Maps ↗

Other Providers at the Same Location NPPES

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

HAXMON MEDICAL SERVICES P LLC LLC

Family Medicine (Addiction Medicine)

1201 N 37TH AVE STE 100
HOLLYWOOD, FL 33021

Broward County (305) 562-8090

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 Shane Farouk's NPI number?

The NPI number for Shane Farouk is 1740196344. It was assigned to this individual provider in the NPPES registry on August 22, 2026.

Where is Shane Farouk located?

Shane Farouk practices at 1201 N 37th Ave Ste 100, Hollywood, FL 33021. The listed phone number is (754) 777-5600.

What is Shane Farouk's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

When was this NPI record last updated?

The NPPES record for Shane Farouk was last updated on August 22, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.