Maude Shannon, PHD, PSYD
Maude Shannon, PHD, PSYD is a Psychologist in Fort Lauderdale, FL, registered under NPI 1003628934. This provider registers 4 separate taxonomy codes, which usually means they practise across more than one recognised specialty. NPPES records them as a sole proprietor, meaning the practice is not incorporated as a separate legal entity.
Getting there
Here is what surrounds this office in Fort Lauderdale, based on OpenStreetMap data collected Oct 11, 2026. Parking is available about 0.43 mi away. There is EV charging 0.48 mi from the office — useful if you are driving in from out of town. The nearest transit stop is 848 ft away, served by Northeast 15th Avenue/Northeast 17th Street. If you arrive early, there is a coffee shop 0.42 mi away.
Getting here and what is nearby
Transit Northeast 15th Avenue/Northeast 16th Street 686 ft ~3 min
Transit Northeast 15th Avenue/Northeast 16th Court 703 ft ~3 min
Transit Northeast 15th Avenue/Northeast 17th Street 848 ft ~4 min
Coffee CAO Bakery & Cafe 0.42 mi ~9 min
1535 North Federal Highway, Fort Lauderdale 33304
Mo-Sa 06:00-19:00; Su 07:00-17:00
Grocery Wild Fork Meat & Seafood Market - Ft. Lauderdale 0.42 mi ~9 min
1451 North Federal Highway, Fort Lauderdale 33304
Mo-Su 08:00-21:00
Parking 0.43 mi ~9 min
EV charging 0.48 mi ~10 min
EV charging 0.48 mi ~10 min
Grocery Trader Joe's 0.50 mi ~11 min
1560 North Federal Highway, Fort Lauderdale 33304
Mo-Su 08:00-21:00
Distances are straight‑line estimates — walking routes may be longer. Hours and phone numbers can change; call ahead to confirm.
Credentials and Medicare
| Licence | State | Specialty |
|---|---|---|
| PY12587 | FL | Psychologist primary |
| PY12587 | FL | Cognitive & Behavioral Psychologist |
| PY12587 | FL | Clinical Psychologist |
| PY12587 | FL | Exercise & Sports Psychologist |
This provider holds licence PY12587 issued in FL. A licence number in NPPES reflects what was filed at registration — it does not confirm the licence is still active today.
This NPI does not appear in the PECOS Medicare enrolment file. Providers who do not bill Medicare — or who bill only through a group's enrolment — will not appear here. It is not a sign of any problem with the registration.
What Psychologist covers
A psychologist is an individual who is licensed to practice psychology which is defined as the observation, description, evaluation, interpretation, and modification of human behavior by the application of psychological principles, methods, and procedures, for the purpose of preventing or eliminating symptomatic, maladaptive, or undesired behavior and of enhancing interpersonal relationships, work and life adjustment, personal effectiveness, behavioral health, and mental health. The practice of psychology includes, but is not limited to, psychological testing and the evaluation or assessment of personal characteristics, such as intelligence, personality, abilities, interests, aptitudes, and neuropsychological functioning; counseling, psychoanalysis, psychotherapy, hypnosis, biofeedback, and behavior analysis and therapy; diagnosis and treatment of mental and emotional disorder or disability, alcoholism and substance abuse, disorders of habit or conduct, as well as of the psychological aspects of physical illness, accident, injury, or disability; and psycheducational evaluation, therapy, remediation, and consultation. Psychological services may be rendered to individuals, families, groups and the public. NUCC Health Care Provider Taxonomy, code 103T00000X
All registered taxonomy codes
This provider registers 4 taxonomy codes. The primary code is what appears on most claims; the others record additional recognised specialties.
| Code | Specialty | Licence | State | |
|---|---|---|---|---|
| 103T00000X | Psychologist | PY12587 | FL | primary |
| 103TB0200X | Cognitive & Behavioral Psychologist Cognitive & Behavioral | PY12587 | FL | |
| 103TC0700X | Clinical Psychologist Clinical | PY12587 | FL | |
| 103TE1100X | Exercise & Sports Psychologist Exercise & Sports | PY12587 | FL |
The taxonomy records how the provider classifies their own practice. It does not confirm which conditions they currently treat, whether they are accepting new patients, or which insurance they take — call the office for that.
Full NPPES record
An NPI-1 identifies a single person. It stays with the clinician for life, even if they move practice or change state, which is why the address on file can lag behind where they actually work today.
| NPI | 1003628934 valid check digit |
|---|---|
| Entity type | Individual (NPI-1) |
| Enumeration date | Jan 27, 2025 |
| Last updated | Jun 6, 2026 |
| Status | Active |
| Sole proprietor | Yes |
| Gender | Female |
| Credential | PHD, PSYD |
| Practice address |
1624 NE 16TH TER Fort Lauderdale, FL 33305 (438) 834-1563 |
| Other names |
Maude Guilmette Doing Business As |
Number check
How the check works, step by step
Every NPI carries a Luhn check digit — the same scheme used on credit cards. CMS prefixes the number with 80840 before computing it, which marks it as a US health identifier.
| Digit | 8 | 0 | 8 | 4 | 0 | 1 | 0 | 0 | 3 | 6 | 2 | 8 | 9 | 3 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Doubled? | — | ×2 | — | ×2 | — | ×2 | — | ×2 | — | ×2 | — | ×2 | — | ×2 |
| Value | 8 | 0 | 8 | 8 | 0 | 2 | 0 | 0 | 3 | 3 | 2 | 7 | 9 | 6 |
Sum = 56 · next multiple of 10 = 60 · check digit = 4 · actual last digit = 4
A valid check digit only means the number is well-formed. It does not mean the provider is licensed, active, or in good standing — those are separate questions answered by the sections above.