Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Dr. Chrissyl Kandis Shaw, PSYD

Individual provider Psychologist · NPI 1609217280

Dr. Chrissyl Kandis Shaw, PSYD is a Clinical Psychologist in Plantation, Florida. Qualified in 2010, 16 years ago. Practices with Ace Behavioral Health LLC, a 39-clinician group, works from 3 locations and accepts Medicare assignment. Licensed in Florida.

Years since qualifying
16
Licensed in
FL
In the registry since
2013
What do these letters mean?
PSYD — Doctor of Psychology
A doctoral psychologist trained primarily for clinical practice.

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Practice location Address checks out

4121 NW 5th St Ste 207
Plantation, FL 33317-2120
Phone: (954) 583-4568
Fax: (954) 583-4528
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (2)

  • 725 N 12th Ave Bldg B, Arcadia, FL 34266-8752 — (863) 494-1242
  • 1802 E Busch Blvd, Tampa, FL 33612-8631 — (813) 993-1570

Specialties & licences

Psychologist (primary) Taxonomy 103T00000X · Licence PY8765 (FL)

Record details

NPI number1609217280
Entity typeIndividual (Type 1)
GenderFemale
Credentials PSYD
Sole proprietorYes
NPI enumeratedJuly 11, 2013
Last updated in NPPESAugust 4, 2026
Certification dateAugust 4, 2026

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyCLINICAL PSYCHOLOGIST
Medical schoolOTHER
Graduated 2010 (16 years in practice)
Group practice Ace Behavioral Health Llc — 39 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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