POOJA SHASTRI, PSY.D., P.A.
NPI 1891334157
Psychologist - Clinical in Fort Myers, FL

Q: What is Pooja Shastri, Psy.D., P.A.'s NPI number?

The NPI number for Pooja Shastri, Psy.D., P.A. is 1891334157. It was assigned to this organization in the NPPES registry on January 3, 2020.

Q: What is Pooja Shastri, Psy.D., P.A.'s specialty?

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

Active since January 03, 2020

13430 PARKER COMMONS BLVD STE 101, FORT MYERS, FL 33912(239) 561-9955(239) 561-9779 Get Directions Write a Review

NPPES record last updated: January 3, 2020. Verified against the NPPES registry weekly; last sync: October 18, 2026.

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About Pooja Shastri, Psy.d., P.a. NPPES

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

POOJA SHASTRI, PSY.D., P.A. (NPI 1891334157) is a healthcare organization registered as a clinical in Fort Myers, Florida and active in the NPI registry since January 2020. The organization lists Pooja Shastri, President, as its authorized official.

NPPES Registry Identity

NPI1891334157

Entity TypeOrganization

Primary Taxonomy103TC0700X

Legal Business NamePOOJA SHASTRI, PSY.D., P.A.

Location Address13430 PARKER COMMONS BLVD STE 101Fort Myers, FL 33912-1812

Mailing Address3606 Treasure Cove CirNaples, FL 34114-3983

Phone(239) 561-9955

Fax(239) 561-9779

Organization SubpartNo

Authorized OfficialPooja ShastriPresident · (773) 677-2170

Enumeration DateJanuary 3, 2020

✔ NPI 1891334157 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychologist · ClinicalBehavioral Health & Social Service Providers

Taxonomy Code103TC0700X

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.

13430 PARKER COMMONS BLVD STE 101, Fort Myers, FL 33912

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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Pooja Shastri, Psy.d., P.a. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Pooja Shastri, Psy.D., P.A., which bills Medicare for the services this clinician delivers.

Clinician (1)

Pooja Shastri, PSY.D

Clinical Psychologist

NPI 1932656899

13430 PARKER COMMONS BLVD STE 101
Fort Myers, FL 33912

(239) 561-9955

✔ PECOS✔ Accepts MedicareSame address

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 Pooja Shastri, Psy.D., P.A.'s NPI number?

The NPI number for Pooja Shastri, Psy.D., P.A. is 1891334157. It was assigned to this organization in the NPPES registry on January 3, 2020.

Where is Pooja Shastri, Psy.D., P.A. located?

Pooja Shastri, Psy.D., P.A. is located at 13430 Parker Commons Blvd Ste 101, Fort Myers, FL 33912. The listed phone number is (239) 561-9955.

What is Pooja Shastri, Psy.D., P.A.'s specialty?

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

Is Pooja Shastri, Psy.D., P.A. enrolled in Medicare?

Yes. Pooja Shastri, Psy.D., P.A. is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Pooja Shastri, Psy.D., P.A.?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Clinical Psychologist) reassigns their Medicare billing to Pooja Shastri, Psy.D., P.A.. A 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 the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Pooja Shastri, Psy.D., P.A. was last updated on January 3, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.