DR. AMANDA SHAW (NPI# 1356834378) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1356834378 |
| Entity Type | Individual |
| Full Name | DR. AMANDA SHAW |
| Credential | PHD |
| Practice Address |
247 Park Ave Rochester NY 14607-2723 |
| Practice Telephone | 5054023639 |
| Practice Fax Number | 5852440629 |
| Mailing Telephone | 5054023639 |
| Mailing Fax Number | 5852440629 |
| Enumeration Date | 2018-06-13 |
| Last Update Date | 2018-06-13 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103TC0700X |
Psychologist Specialization: Clinical |
022686-1 | NY | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841898707 | Amanda Jo Shaw | Social Worker | 1103 Cydney Ln, Greencastle, PA 17225-8925 | 2020-10-13 |
| 1740842699 | Amanda Shaw | Massage Therapist | 822 Lynnwood Dr, Lake Worth, FL 33461 | 2019-07-01 |
| 1225416712 | Amanda Shaw | Social Worker | 90 Central St, Hudson, MA 01749-3328 | 2015-05-15 |
| 1851934475 | Amanda Shaw | Social Worker | 1012 Broad St, Bloomfield, NJ 07003-2807 | 2019-10-27 |
| 1609342211 | Amanda Shaw | Massage Therapist | 5122 25th Ave Ne, Seattle, WA 98105-4121 | 2018-10-22 |
| 1619498698 | Amanda T Shaw | Student in an Organized Health Care Education/Training Program | 850 5th Ave E, Tuscaloosa, AL 35401-7419 | 2017-06-29 |
| 1023461381 | Amanda Shaw | Social Worker | 555 Merrimack St, Lowell, MA 01854-3906 | 2016-07-21 |
| 1992178933 | Amanda M Shaw | Nurse Practitioner | 8200 Dodge St, Children's Hospital & Medical Center, Omaha, NE 68114-4113 | 2015-11-12 |
| 1104216639 | Amanda Elizabeth Shaw | Nurse Practitioner | 495 Charles Hardy Pkwy, Dallas, GA 30157-5723 | 2015-02-04 |
| 1851641948 | Amanda Nicole Shaw | Pediatrics | 5323 Harry Hines Blvd, Dallas, TX 75390-7208 | 2012-09-15 |
| Street Address |
247 PARK AVE |
| City | ROCHESTER |
| State | NY |
| Zip Code | 14607-2723 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871541532 | Dennis John Foley | Psychologist | 247 Park Ave, Rochester, NY 14607-2723 | 2006-05-05 |
| 1457631418 | Malika Kapadia | Psychologist | 247 Park Ave, Rochester, NY 14607-2723 | 2011-08-23 |
| 1629271283 | Sheila Jan Cummings | Psychologist | 247 Park Ave, Rochester, NY 14607-2723 | 2007-06-08 |
| 1609928738 | Robert Allyn Pierce | Psychologist | 247 Park Ave, Rochester, NY 14607-2723 | 2007-01-17 |
| 1629135579 | Claire Cunliffe Mclauchlin | Psychologist | 247 Park Ave, Rochester, NY 14607-2723 | 2007-01-02 |
| 1003974247 | Rita Ann Izzo | Social Worker | 247 Park Ave, Rochester, NY 14607-2723 | 2006-12-04 |
| 1194802595 | Timothy Michael Enright | Psychologist | 247 Park Ave, Rochester, NY 14607-2723 | 2006-11-01 |
| 1689609414 | Marie Terese Sergent | Psychologist | 247 Park Ave, Rochester, NY 14607-2723 | 2006-07-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245862333 | Zachery Mcatee | Pharmacist | 259 Monreo Ave, 1st Floow Phamacy, Rochester, NY 14607 | 2020-02-07 |
| 1184274920 | Rhodette Gayhart | Technician | 70 Edmonds St., Apt. 2, Rochester, NY 14607 | 2019-09-13 |
| 1194209031 | Amy Knickerbocker | Nurse Practitioner | 224 Alexander St Ste 220, Rochester, NY 14607 | 2018-09-17 |
| 1366948424 | Monekia Michelle Moore | Peer Specialist | 320 North Goodman Street, Rochester, NY 14607 | 2018-04-05 |
| 1386160414 | Meghan Grant | Physical Therapist | 26 Harper Street, Rochester, NY 14607 | 2017-08-21 |
| 1548793722 | Burd Home Health LLC | In Home Supportive Care | 274 N Goodman St Ste A403, Rochester, NY 14607 | 2017-04-05 |
| 1154718799 | Azadeh Shahryarinejad | Social Worker | 16 North Goodman Street, Rochester, NY 14607 | 2015-04-21 |
| 1386086957 | Robert M Kerper Md, Pllc | Internal Medicine | 26 South Goodman Street, Rochester, NY 14607 | 2013-07-24 |
| 1275978058 | Sarah Lynn Fisher | Speech-Language Pathologist | Leap for Kids Ot, Pt & Slp, 372 N. Goodman St., Rochester, NY 14607 | 2013-05-07 |
| 1639410350 | Jonell Mae Belcher | Social Worker | 235 Alexander St Ste 4, Rochester, NY 14607 | 2013-03-05 |
| Find all providers in zip 14607 | ||||
| Taxonomy Code | 103TC0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Clinical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346883873 | Denise Pine | Psychologist | 1111 Elmwood Ave # D3, Rochester, NY 14620-3005 | 2019-10-28 |
| 1205305729 | Christopher Corona | Psychologist | 100 Linden Oaks, Suite 102, Rochester, NY 14625 | 2018-11-14 |
| 1275017550 | Leah Rothschild | Psychologist | 160 Allens Creek Rd Ste 160, Rochester, NY 14618-3312 | 2018-09-21 |
| 1639658693 | Garry Linsis Spink Jr. | Psychologist | 100 Pinewild Dr Fl 2, Rochester, NY 14606-4200 | 2018-08-10 |
| 1942798129 | Rachel Marie Rodorigo | Psychologist | 900 W University Dr Ste B3, Rochester, MI 48307-1817 | 2018-04-24 |
| 1740799162 | Douglas Andrew Raynor | Psychologist | 919 Winton Rd S Ste 106, Rochester, NY 14618-1633 | 2017-09-28 |
| 1356861884 | Lauren P Wadsworth | Psychologist | 21 Goodway Dr, Rochester, NY 14623-3029 | 2017-06-26 |
| 1881120947 | Dayton Walsh | Psychologist | 190 Goodman St S, Rochester, NY 14607-2651 | 2017-05-11 |
| 1770019713 | Brenna Cavanaugh | Psychologist | 200 East River Rd., Rochester, NY 14623 | 2017-05-11 |
| 1275068470 | Tara Marie Augenstein | Psychologist | University of Rochester, Dept. of Psychiatry, 300 Crittenden Blvd, Rochester, NY 14642 | 2017-04-25 |
| Find all providers in ROCHESTER | ||||
Please comment or provide details below to improve the information on DR. AMANDA SHAW.
| 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.