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

Individual provider Clinical Psychologist · NPI 1932656899

Dr. Pooja Shastri, PSYD is a Clinical Psychologist in Fort Myers, Florida. Qualified in 2014, 12 years ago. Practices as a sole proprietor, accepts Medicare assignment and offers telehealth. Licensed in Florida.

Years since qualifying
12
Licensed in
FL
In the registry since
2016
Specialties on file
2
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

13430 Parker Commons Blvd Ste 101
Fort Myers, FL 33912-1812
Phone: (239) 561-9955
Fax: (239) 561-9779
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Psychologist (primary) Taxonomy 103TC0700X · Licence PY 9643 (FL)
Adult Development & Aging Psychologist Taxonomy 103TA0700X · Licence PY 9643 (FL)

Record details

NPI number1932656899
Entity typeIndividual (Type 1)
GenderFemale
Credentials PSYD
Sole proprietorYes
NPI enumeratedSeptember 7, 2016
Last updated in NPPESMarch 6, 2020
Certification dateMarch 6, 2020

Medicare enrollment

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

Medicare specialtyCLINICAL PSYCHOLOGIST
Medical schoolOTHER
Graduated 2014 (12 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

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