SHONDA NIXON (PH.D.) – Clinical Psychologist, NPI 1003896614
Clinical Psychologist
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
1,669 CLINICAL PSYCHOLOGIST in PA
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Provider Addresses for SHONDA NIXON (PH.D.)
Resources for Human Development, 4700 Suite 126, Wissahickon Avenue, Abbotsford Homes, Philadelphia, Philadelphia County, Pennsylvania, 19144, United States
SUITE 118 BOX 110
PHILADELPHIA, PA 191444248
Phone: (215) 298-0417
Type: Mailing
850, North 11th Street, Cambridge Plaza, Philadelphia, Philadelphia County, Pennsylvania, 19123, United States
PHILADELPHIA, PA 191231957
Phone: (215) 769-1590
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: 2015-07-07
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20150707000791 | I | Clinical Psychologist | PA | TBD |
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.
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 19144)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Mental Health Counselor | PA | |
| - | PA | |
| Mental Health Counselor | PA | |
| - | PA | |
| Nurse Practitioner | PA | |
| - | PA | |
| Clinical Psychologist | PA | |
| Clinical Social Worker | PA | |
| Nurse Practitioner | PA | |
| Nurse Practitioner | PA |
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