SHINE PSYCHOTHERAPY LCSW, P.C. (NPI# 1376023077) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1376023077 |
| Entity Type | Organization |
| Organization Name | SHINE PSYCHOTHERAPY LCSW, P.C. |
| Practice Address |
222 Purchase St # 335 Rye NY 10580-2101 |
| Mailing Address |
85 Livingston St Apt 4j Brooklyn NY 11201-5017 |
| Practice Telephone | 3475122236 |
| Enumeration Date | 2018-08-21 |
| Last Update Date | 2020-08-12 |
| Authorized Official Name | JUMANA M GRASSI (THERAPIST) |
| Authorized Official Telephone | 3475122236 |
| Authorized Official Credential | LCSW, CASAC |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QM0801X |
Clinic/Center Specialization: Mental Health (Including Community Mental Health Center) |
Ambulatory Health Care Facilities |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 280 Madison Ave Rm 202, New York, NY 100160816 | 3475122236 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| New York State Corporations | SHINE PSYCHOTHERAPY LCSW, P.C. | 222 Purchase St, #335, Rye, New York 10580 |
| Street Address |
222 PURCHASE ST # 335 |
| City | RYE |
| State | NY |
| Zip Code | 10580-2101 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609281542 | Jumana Marie Grassi | Social Worker | 222 Purchase St # 335, Rye, NY 10580-2101 | 2014-06-30 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720624984 | Kathleen Brennan | Occupational Therapist | The Osborn, 101 Theall Rd., Rye, NY 10580 | 2019-11-22 |
| 1760991046 | Dorothy Reisner | Counselor | 40 Midland Ave, Rye, NY 10580 | 2017-09-29 |
| 1295113280 | Purchase Street Family Dental P.C. | Dentist | 266 Purchase St., Rye, NY 10580 | 2015-05-11 |
| 1245617588 | Lauren Rosen | Social Worker | 16 School Street, Lower Level Suites, Rye, NY 10580 | 2015-05-06 |
| 1487057683 | Advances In Contemporary Psychology LLC | Psychologist | 66 Milton Road, #a12, Rye, NY 10580 | 2014-10-01 |
| 1508277583 | Ruth Ursula Donovan | Pediatrics | 2104 Theall Road, Rye, NY 10580 | 2014-05-13 |
| 1407267610 | Lori Watkins Cohen | Dentist | 105-107 Theodore Fremd Ave, Rye, NY 10580 | 2014-05-12 |
| 1134541865 | Paul K. Chu, Dds, Pllc | Dentist | 130 Thedore Fremd #m2, Rye, NY 10580 | 2014-01-15 |
| 1760812705 | Steven Edward Norman | Specialist/Technologist | 1 Cedar Street, Rye, NY 10580 | 2013-11-12 |
| 1689921181 | Teresa Caridi | Health Educator | 18 Summit Avenue, Rye, NY 10580 | 2012-08-14 |
| Find all providers in zip 10580 | ||||
| Taxonomy Code | 261QM0801X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Mental Health (Including Community Mental Health Center) |
| Definition to come... |
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| 1154929123 | Culture of Wellness, LLC | Clinic/Center | 31 W 34th St # 7058, New York, NY 10001-3009 | 2020-10-13 |
| 1942807276 | Jason Diana Lmsw | Clinic/Center | 50 West Hawthorne Ave 2nd Floor, Valley Stream, NY 11580 | 2020-10-09 |
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| 1962015248 | Melissa Gottlieb | Clinic/Center | 285 Livingston St Fl 1, Brooklyn, NY 11217-1006 | 2020-08-26 |
| 1235749409 | Wong Thies Psychology, Pllc | Clinic/Center | 11050 71st Rd Ste 1m, Forest Hills, NY 11375-4972 | 2020-08-03 |
| 1316557606 | Calm Mind Psychiatric Np Services of The Finger Lakes Pllc | Clinic/Center | 840 Hanshaw Rd Ste 9, Ithaca, NY 14850-1589 | 2020-08-03 |
| 1023626678 | Ra Psychiatric Np Services Pllc | Clinic/Center | 2722 Hering Ave, Bronx, NY 10469-5321 | 2020-07-20 |
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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.