NPPES file of Aug 9, 2026

Shannon Fowler, PHD, LP

Clinical Psychologist · Longwood, FL

Shannon Fowler, PHD, LP is a clinical psychologist with a practice address in Longwood, Florida, and NPI 1619378650, issued on Sep 9, 2014. Check the license (Florida PY10662, as entered in NPPES) on the Florida health license search; the Medicare figures below come from public CMS files.

Record from CMS NPPES, file of Aug 9, 2026 · method · Verify with CMS →

NPPES recordNPPES file of Aug 9, 2026
1619378650
Name
Shannon Fowler
Credential
PHD, LP
Primary taxonomy
Clinical Psychologist 103TC0700X
License numbers
PY10662 FL
6301016051 MI
0810005172 VA
Self-reported in NPPES; status is on the state search
Practice location
741 Riverbend Blvd, Longwood, FL 32779
Phone
(734) 474-0530
Enumerated
Sep 9, 2014
Record last updated
Dec 9, 2021 (not updated in 5 years: call before relying on the address or phone)
Medicare enrollment
Enrolled (PECOS I20260325003226); accepts Medicare assignment
Entity
Type 1 · individual
Public record from CMS NPPES (open it on the CMS NPI Registry). Enrollment, assignment, school and telehealth: CMS Doctors and Clinicians file, Aug 2026. A record is not a license: verify it with the state board.
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8 nearest clinical psychologist records → All 2,980 in Florida → Look up another NPI →

Verify Shannon Fowler in five checks

  1. 1IdentityNPI record in CMS NPPESNPI lookupConfirmed in NPPES
  2. 2LicenseActive license and public ordersFlorida health license search
    Search for license PY10662    Check the board
  3. 3Other statesLicenses and actions elsewhereDocInfo (FSMB)Not checked
  4. 4ExclusionsMedicare and Medicaid bansHHS-OIG exclusion listNot checked
  5. 5CertificationBoard certificationABMS AOA NCCPA AANPNot checked
Open the Florida license search

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Bills Medicare through one group practice

  1. Mental Health Specialty Group PAChurchville, VA

Source: CMS Doctors and Clinicians National Downloadable File (the group practices a clinician bills Medicare through) (data.cms.gov).

Shannon Fowler among 2,980 clinical psychologist records in Florida

Shannon Fowler, PHD, LP is one of 2,980 clinical psychologist records with a practice address in Florida. 14% of them appear in a Medicare file (Part D prescribing, MIPS, Open Payments or Medicare group billing); this one does. Its NPI, issued in 2014, is newer than 64% of them.

  • NPI issued2014 · 64% of these records are older, 33% newer
  • In a Medicare fileYes · 14% of these records are
  • In the CMS Doctors and Clinicians fileYes · 26% of these records are
  • Graduated2014 · median 2004 among the 773 with a school on file
  • Record last updated2021 · 63% of these records were not updated in five years or more

Source: CMS NPPES, file of Aug 9, 2026, every record with primary taxonomy 103TC0700X and a Florida practice address; Medicare files: CMS Part D Prescribers 2024, MIPS 2023, Open Payments 2024, Doctors and Clinicians (data.cms.gov).

Clinical Psychologist providers in Florida

There are 2,980 clinical psychologist records in Florida.

All 2,980 in Florida → Every provider in Longwood → Clinical Psychologist nationwide →

The 8 clinical psychologist records with the nearest ZIP codes

  1. Wesley Blitchington, PH.D.Longwood, FL 327791063577229
  2. Natalie Mroz, PSY.D.Longwood, FL 327791497189070
  3. John Thibodeau, PHDLongwood, FL 327791962506188
  4. Evelyn Baez-Rojas, PH.D.Tavares, FL 327781477614139
  5. Brian Boyd, PH.D.Tavares, FL 327781992746051
  6. Maxine Ruddock, PH.D.Tavares, FL 327781205014461
  7. Nadine Vaughan, PH.D.Tavares, FL 327781093756637
  8. Tamalia Hanchell, PSY.DSanford, FL 327731780045799

Common questions

What is Shannon Fowler, PHD, LP's NPI number?

Shannon Fowler, PHD, LP's National Provider Identifier (NPI) is 1619378650, issued on Sep 9, 2014. An NPI identifies a provider in billing; it is not a license.

Where is Shannon Fowler, PHD, LP located?

The NPPES record lists a practice address at 741 Riverbend Blvd, Longwood, FL, 32779. Phone: (734) 474-0530. Providers update this record themselves, so call before visiting.

How can I verify Shannon Fowler, PHD, LP's license?

NPPES lists Florida license number PY10662, as entered by the provider. Search the Florida health license search at https://mqa-internet.doh.state.fl.us/mqasearchservices/healthcareproviders. The NPPES record confirms identity only; the state search shows license status, expiration and public orders.

Source: CMS National Plan and Provider Enumeration System (NPPES), file of Aug 9, 2026 (NPPES files on CMS.gov); NUCC Health Care Provider Taxonomy. Medicare files from data.cms.gov. An NPI identifies who bills; it is not a license.

Written with AI tools from the named public files; every figure is computed from those files (how it is made).

Figures on PlainDoctor are read from the federal files each page names (CMS NPPES, Medicare Part D, MIPS, Open Payments; the HHS-OIG exclusion list only as counts) and from Census population estimates, with the file date shown beside them. See our editorial standards & corrections policy, the methodology behind these numbers, or report a data error. Data current as of Aug 9, 2026.