Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Dr. Jodi Samuels Shir, PHD

Individual provider Clinical Child & Adolescent Psychologist · NPI 1730480583

Dr. Jodi Samuels Shir, PHD is a Clinical Child & Adolescent Psychologist in Sunrise, Florida. Practices as a sole proprietor. Licensed in Florida.

Licensed in
FL
In the registry since
2010
What do these letters mean?
PHD — Doctor of Philosophy
A research doctorate. In healthcare it usually sits alongside a clinical licence.

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Practice location Address checks out

12651 W Sunrise Blvd Ste 102
Sunrise, FL 33323-0906
Phone: (954) 587-7520
Fax: (954) 587-7527
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Child & Adolescent Psychologist (primary) Taxonomy 103TC2200X · Licence PY5687 (FL)

Record details

NPI number1730480583
Entity typeIndividual (Type 1)
GenderFemale
Credentials PHD
Sole proprietorYes
NPI enumeratedNovember 10, 2010
Last updated in NPPESDecember 3, 2020
Certification dateDecember 3, 2020

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