Shannon Marie Smith, PH.D.
NPI 1548747181ActiveIndividual· Psychologist· Winter Haven, FL
Psychologist (PH.D.) with Kevin M. Kindelan, PH.D. and Associates, P.A., practicing in Winter Haven, Florida. Enrolled in Medicare as practitioner - clinical psychologist.
Overview
| NPI | 1548747181 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | PH.D. |
| Sole proprietor | No |
| NPI issued | Jul 26, 2018 |
| Last updated in NPPES | Mar 25, 2021 |
| Certified by provider | Mar 25, 2021 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Psychologist Primary | 103T00000X | PY10219 | FL |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 4, 2026 | No match | — |
| New York OMIG · Nov 4, 2026 | No match | — |
| Ohio Medicaid · Nov 4, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 4, 2026 | No match | — |
| Washington HCA · Nov 4, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Clinical Psychologist (FL) |
|---|
Education and affiliations
| Graduation year | 2017 |
|---|---|
| Medicare specialty | Clinical Psychologist |
| Telehealth | Offers telehealth |
Medical group
- Kevin M. Kindelan, PH.D. and Associates, P.A.Lakeland, FL · 3 clinicians
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