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

Dr. Shannon Marie Smith, PHD

Individual provider Psychologist · NPI 1548747181

Dr. Shannon Marie Smith, PHD is a Clinical Psychologist in Winter Haven, Florida. Qualified in 2017, 9 years ago. Practices with Kevin M. Kindelan, PHD and Associates, PA, a 3-clinician group and accepts Medicare assignment. Licensed in Florida.

Years since qualifying
9
Licensed in
FL
In the registry since
2018
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

1201 1st St S Ste 100A
Winter Haven, FL 33880-3904
Phone: (863) 280-6080
Fax: (863) 229-7587
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Psychologist (primary) Taxonomy 103T00000X · Licence PY10219 (FL)

Record details

NPI number1548747181
Entity typeIndividual (Type 1)
GenderFemale
Credentials PHD
Sole proprietorNo
NPI enumeratedJuly 26, 2018
Last updated in NPPESMarch 25, 2021
Certification dateMarch 25, 2021

Medicare enrollment

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

Medicare specialtyCLINICAL PSYCHOLOGIST
Medical schoolOTHER
Graduated 2017 (9 years in practice)
Group practice Kevin M. Kindelan, Ph.D. And Associates, P.A. — 3 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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