WALLACE PHILIP SHAW (NPI# 1154949402) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1154949402 |
| Entity Type | Individual |
| Full Name | WALLACE PHILIP SHAW |
| Credential | BM BCH PHD |
| Practice Address |
Clinical Center Nih Bethesda MD 20892-0001 |
| Mailing Address |
1730 New Hampshire Ave Nw Apt 19 Washington DC 20009-2545 |
| Practice Telephone | 2026796003 |
| Mailing Telephone | 2026796003 |
| Enumeration Date | 2020-07-13 |
| Last Update Date | 2020-07-13 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2084P0800X |
Psychiatry & Neurology Specialization: Psychiatry |
D-48403 | MD | Allopathic & Osteopathic Physicians |
| Street Address |
CLINICAL CENTER NIH |
| City | BETHESDA |
| State | MD |
| Zip Code | 20892-0001 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063904282 | Siobhan Ivy Telfer | Urology | Uob/nci, National Institutes of Health, Building 10, Room 1-5940w, Bethesda, MD 20892 | 2018-06-04 |
| 1871096081 | Adilah M. Meredith-kirton | Registered Nurse | National Institute of Mental Health-division Of, Intramural Research Programs Building 35a Suite Ge-400, Bethesda, MD 20892 | 2018-03-14 |
| 1285158840 | Chelsi Lashea Flippo | Pediatrics | 10 Center Drive Msc 1103 Bldg 10crc Rm 2 East -5130, Bethesda, MD 20892 | 2017-07-26 |
| 1235583311 | Jeevan Mathew Puthiamadathil | Student in an Organized Health Care Education/Training Program | 10 Center Dr Bldg 10, Rm B2l312, Bethesda, MD 20892 | 2016-04-14 |
| 1093120156 | Anne Martini | Obstetrics & Gynecology | 10 Center Drive Bldg 10 Room 8n248b Msc 1840, Bethesda, MD 20892 | 2014-06-27 |
| 1962815795 | Changrui Xiao | Internal Medicine | 10 Center Drive Building 10 Crc Room 3-2551 Msc 1205, Bethesda, MD 20892 | 2014-06-10 |
| 1386055085 | Rebecca Persky | Pediatrics | 10 Center Drive Building 10, Room 1nw-2742, Bethesda, MD 20892 | 2014-05-15 |
| 1962829168 | Anna Zenno | Internal Medicine | 10 Center Drive Msc 1103, Bldg 10crc Rm 2 East-5130, Bethesda, MD 20892 | 2014-03-25 |
| 1043550387 | Christine Siegel | Nurse Practitioner | 9030 Old Georgetown Road, Building 82, Room 205, Bethesda, MD 20892 | 2013-02-24 |
| 1124374517 | Arunima Ghosh | Student in an Organized Health Care Education/Training Program | Nih 10, Center Drive, Bldg 10 2n208 Laboratory of Pathology, Bethesda, MD 20892 | 2012-08-03 |
| Find all providers in zip 20892 | ||||
| Taxonomy Code | 2084P0800X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Psychiatry & Neurology |
| Specialization | Psychiatry |
| A Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment disorders. Biologic, psychological, and social components of illnesses are explored and understood in treatment of the whole person. Tools used may include diagnostic laboratory tests, prescribed medications, evaluation and treatment of psychological and interpersonal problems with individuals and families, and intervention for coping with stress, crises, and other problems. |
| Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588193502 | Nicola Sater Md LLC | Psychiatry & Neurology | 5413 W Cedar Ln Ste 206c, Bethesda, MD 20814-1520 | 2017-06-05 |
| 1548716277 | Roberta Glass | Psychiatry & Neurology | 9806 Marquette Dr., Bethesda, MD 20817 | 2016-09-01 |
| 1528453537 | Nicole Renee Smith | Psychiatry & Neurology | Bg 10 Rm 3c113 Msc 1379 10 Center Dr, Bethesda, MD 20892-0001 | 2015-04-06 |
| 1326448721 | Deborah Dauphinais, M.d.,p.c. | Psychiatry & Neurology | 7910 Woodmont Ave Ste 305b, Bethesda, MD 20814-3002 | 2014-09-04 |
| 1801209887 | Layan Zhang | Psychiatry & Neurology | 4857 Battery Ln, Apt 208, Bethesda, MD 20814-2734 | 2014-06-06 |
| 1235553561 | Richard M Kapit | Psychiatry & Neurology | 10507 Weymouth St, #203, Bethesda, MD 20814-4260 | 2014-02-06 |
| 1578909081 | David Nesaraja Ratnavale | Psychiatry & Neurology | 6528 Lone Oak Drive, Bethesda, MD 20817 | 2013-05-13 |
| 1912341173 | Nida Muzaffar | Psychiatry & Neurology | 4350 E West Hwy, Bethesda, MD 20814-4410 | 2013-04-18 |
| 1124361134 | Edwin Fuller Torrey | Psychiatry & Neurology | 6204 Ridge Dr, Bethesda, MD 20816-2642 | 2013-03-28 |
| 1265708770 | Harold Vincent Kelly M.d., P.a. | Psychiatry & Neurology | 4300 East-west Highway, Lower Level, Bethesda, MD 20814-4433 | 2012-03-29 |
| Find all providers in BETHESDA | ||||
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| 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.