CASSIDY MCSHANE (PSYD) – Psychologist, NPI 1811723539

CASSIDY MCSHANE (PSYD) is a healthcare provider. based in Coral springs, Florida. specializing in CLINICAL PSYCHOLOGIST. They hold the professional credentials PSYD. They hold a License No. PY12357 (FL). The NPI Number for CASSIDY MCSHANE (PSYD) is 1811723539

Main info

Female
Sole Proprietor
3 Years Of Experience
Accepts Medicare Assignment
Name
CASSIDY MCSHANE (PSYD)
NPI
1811723539
Phone
(954) 751-0000
Address
2029 N University Dr
Enumeration Date
10 September 2024
Last Update Date
10 September 2024

Doctor Profile

Medical School Name
NOVA SOUTHEASTERN COLLEGE OF OSTEO MEDICINE
Secondary Phone
5616941010
Graduation Year
2023 (3 years ago)
PAC ID
3779019377
Group Practice PAC ID
4688777915
Professional Enrollment ID
I20241205003564
Address ID
FL334104355PA3355XRDXX301
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience26
Completeness75
Years active:1State licenses:1Digital endpointsOther names

1,602 CLINICAL PSYCHOLOGIST in FL

Provider Addresses for CASSIDY MCSHANE (PSYD)

  • 2029 N University Dr

    Coral Springs, FL 330716132

    Phone: (954) 751-0000

    Fax: (954) 458-8167

    Type: Location

  • 200 E HALLANDALE BEACH BLVD

    HALLANDALE BEACH, FL 330095525

    Phone: (954) 362-8677

    Type: Mailing

  • 4765 W ATLANTIC AVE

    DELRAY BEACH, FL 334453838

    Phone: (561) 453-2273

    Fax: (954) 458-8167

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2024-12-05

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20241205003564IClinical PsychologistFLTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 33071)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 4688777915View full group profile
NameSpecialtyState
Clinical PsychologistFL
Nurse PractitionerFL
N E U R O L O G YFL

Reviews

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Frequently asked questions

How do I look up CASSIDY MCSHANE (PSYD) by NPI?
Use NPI 1811723539 when you need to reference CASSIDY MCSHANE (PSYD) in forms, claims, or directories.
Is CASSIDY MCSHANE (PSYD) active in the national directory?
CASSIDY MCSHANE (PSYD)'s public NPI profile is in an active state.
Does CASSIDY MCSHANE (PSYD) list a primary specialty?
If you are matching referrals, note Psychologist for CASSIDY MCSHANE (PSYD). Clinical services aligned with this taxonomy classification.
What location metadata exists for CASSIDY MCSHANE (PSYD)?
The page summarizes Coral Springs, Florida for CASSIDY MCSHANE (PSYD); expand the address list for detail.
Does Medicare enrollment show here?
Medicare enrollment screens are separate from the basic NPI extract shown here.

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