DR. LEO J SHEA III


Address: 201 E 28th St, #1d, New York, NY 10016-8538
Phone: 2129514545

DR. LEO J SHEA III (NPI# 1023218799) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1023218799
Entity Type Individual
Full Name DR. LEO J SHEA III
Credential PH.D.
Practice Address 201 E 28th St
#1d
New York
NY 10016-8538
Mailing Address 151 E 31st St
#22c
New York
NY 10016-9500
Practice Telephone 2129514545
Practice Fax Number 2128420731
Mailing Telephone 2129514545
Mailing Fax Number 2128420731
Enumeration Date 2007-07-20
Last Update Date 2007-07-20
Gender Code M
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 103G00000X Clinical Neuropsychologist 0136581 NY Behavioral Health & Social Service Providers

Office Location

Street Address 201 E 28TH ST
#1D
City NEW YORK
State NY
Zip Code 10016-8538

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Taxonomy Information

Taxonomy Code 103G00000X
Grouping Behavioral Health & Social Service Providers
Classification Clinical Neuropsychologist

Taxonomy Definition

An individual with a doctorate degree, licensure in clinical psychology and specialized training or board certification in neuropsychology who practices or adheres to the principles of neuropsychology; a specialty within the field of psychology focusing primarily on neurobehavioral functioning.
Notes: Source: American Psychological Association, Washington, DC, 1997. [1/1/2007: title modified]

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Competitor

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City NEW YORK
Zip Code 10016

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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