DR. SHAUNA M. EZELL PHD, LCSW
NPI 1780600858
Psychologist - Clinical in Tyndall Afb, FL

Q: What is Shauna Ezell's NPI number?

The NPI number for Shauna Ezell is 1780600858. It was assigned to this individual provider in the NPPES registry on July 14, 2006. The provider is also known as Ms. Shauna M. Johnson.

Q: What is Shauna Ezell's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Shauna Ezell was last updated on January 23, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.

Active since July 14, 2006

325TH MEDICAL GROUP, 340 MAGNOLIA CIRCLE, BLDG. 1465, TYNDALL AFB, FL 32403(850) 283-7511 Get Directions Write a Review

NPPES record last updated: January 23, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jan 23, 2026, Apr 21, 2022, Sep 12, 2018 (3 updates tracked since 2018).

On this page

About Dr. Shauna M. Ezell Phd, Lcsw NPPES

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

DR. SHAUNA M. EZELL PHD, LCSW (NPI 1780600858) is an individual clinical provider in Tyndall Afb, Florida, licensed in Wisconsin (3097-57) and active in the NPI registry since July 2006.

NPPES Registry Identity

NPI1780600858

Entity TypeIndividualFemale

Primary Taxonomy103TC0700X

Provider Legal NameDR. SHAUNA M. EZELLCredential: PHD, LCSW

Location Address325TH MEDICAL GROUP, 340 MAGNOLIA CIRCLE, BLDG. 1465Tyndall Afb, FL 32403-5604

Mailing Address340 Magnolia Cir Bldg 1465Tyndall Afb, FL 32403-5604 · (850) 283-7511

Phone(850) 283-7511

Sole ProprietorNo

Enumeration DateJuly 14, 2006

Last NPPES UpdateJanuary 23, 20263 updates tracked since enumeration

NPPES CertifiedJanuary 23, 2026

✔ NPI 1780600858 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 WI · 3097-57

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 ListedSocial Worker · ClinicalTaxonomy 1041C0700X · License 7400-123 (WI)

325TH MEDICAL GROUP, Tyndall Afb, FL 32403

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Other Names 1

Former Name (1)Ms. Shauna M. Johnson

Other Identifiers 1

Medicaid524139100MN

Other Providers at the Same Location NPPES 3

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

DR. BOBBY SARIVANNARA O.D.

Optometrist

325TH MEDICAL GROUP, 340 MAGNOLIA CIR BLDG 1465
TYNDALL AFB, FL 32403

Bay County (850) 283-7108

CAROLYN KAY CALVIN WHCNP/ANP

Nurse Practitioner (Adult Health)

325TH MEDICAL GROUP, 340 MAGNOLIA CIRCLE
TYNDALL AFB, FL 32403

Bay County (850) 283-7491

PHILIP WEBB RD

Dietitian, Registered

325TH MEDICAL GROUP, 340 MAGNOLIA CIRCLE
TYNDALL AFB, FL 32403

Bay County (850) 283-7491

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 Shauna Ezell's NPI number?

The NPI number for Shauna Ezell is 1780600858. It was assigned to this individual provider in the NPPES registry on July 14, 2006. The provider is also known as Ms. Shauna M. Johnson.

Where is Shauna Ezell located?

Shauna Ezell practices at 325th Medical Group 340 Magnolia Circle, Bldg. 1465, Tyndall Afb, FL 32403. The listed phone number is (850) 283-7511.

What is Shauna Ezell'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 Shauna Ezell was last updated on January 23, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.