DR. TINA DINESH SHAH (NPI# 1497991806) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1497991806 |
| Entity Type | Individual |
| Full Name | DR. TINA DINESH SHAH |
| Credential | PSYD, LP |
| Practice Address |
12400 Portland Ave Ste 120 Burnsville MN 55337-6817 |
| Practice Telephone | 6122762462 |
| Practice Fax Number | 6122463682 |
| Mailing Telephone | 6122762462 |
| Mailing Fax Number | 6122463682 |
| Enumeration Date | 2009-01-07 |
| Last Update Date | 2020-02-20 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103TC0700X |
Psychologist Specialization: Clinical |
5012 | MN | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MN | MEDICARE PTAN | 680002766 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467762112 | Tina Shah | Pharmacist | 230 Oser Avenue, Hauppauge, NY 11788 | 2010-10-15 |
| 1083938641 | Tina V Shah | Speech-Language Pathologist | 5167 Villa Vecchio Ct, Las Vegas, NV 89141-0461 | 2010-03-24 |
| 1881071322 | Tina Shah | Student in an Organized Health Care Education/Training Program | 550 1st Ave, New York, NY 10016 | 2015-05-05 |
| 1598008971 | Tina Shah | Anesthesiology | 251 E Huron St, Chicago, IL 60611-2908 | 2013-04-03 |
| 1992930572 | Tina V Shah | Optometrist | 1809 Corlies Ave, Suite 1, Neptune, NJ 07753-4801 | 2009-05-26 |
| 1972766368 | Tina Shah | Internal Medicine | 101 S Whiting St Ste 105, Alexandria, VA 22304-3416 | 2008-07-07 |
| 1437310513 | Tina R Shah | Internal Medicine | 55 Whitcher St Ne Ste 160, Marietta, GA 30060 | 2008-06-20 |
| 1851506067 | Tina P Shah | Internal Medicine | 6620 Main St, Suite 1225, Houston, TX 77030-2348 | 2007-05-11 |
| Street Address |
12400 PORTLAND AVE STE 120 |
| City | BURNSVILLE |
| State | MN |
| Zip Code | 55337-6817 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861725905 | Nicole Marie Schumann | Psychologist | 12400 Portland Ave Ste 120, Burnsville, MN 55337-6817 | 2009-09-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053939397 | Alpha Quality Care1 L. L. C. | Home Infusion | 12924 18th Ave South, Burnsville, MN 55337 | 2020-07-13 |
| 1568085900 | Kathryn Harris | Counselor | 11939 W. River Hills Dr., Burnsville, MN 55337 | 2020-05-20 |
| 1952941254 | Noah Home Care Inc. | Home Health | 13521 Nicollet Lane, Burnsville, MN 55337 | 2020-01-14 |
| 1750854287 | Baraka Home Care LLC | Nursing Care | 1700 James Place, Burnsville, MN 55337 | 2019-01-08 |
| 1699298778 | Raphael Cheron-dittmann | Hearing Instrument Specialist | 14000 Nicollet Ave. S., Suite 303, Burnsville, MN 55337 | 2017-07-20 |
| 1669909818 | Mercy Home Care Ltd | Hospice Care, Community Based | 1020 E 146th St Ste 220d, Burnsville, MN 55337 | 2017-05-18 |
| 1457893984 | Daniel Ryan Nguyen | Physician Assistant | 14551 Co Rd #11 #100, Burnsville, MN 55337 | 2016-11-15 |
| 1730542572 | Iris Reproductive Psychiatric Clinic | Clinical Nurse Specialist | 1500 Mcandrews Road W, Ste 227, Burnsville, MN 55337 | 2016-03-30 |
| 1740657204 | Mercy Link, LLC | Home Health | 13005 Salem Pl, Burnsville, MN 55337 | 2015-08-31 |
| 1669852158 | Mixa Dipak Patel | Physical Therapy Assistant | 8380 Hiawatha Ave, Eden Prairie, MN 55337 | 2015-06-01 |
| Find all providers in zip 55337 | ||||
| Taxonomy Code | 103TC0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Clinical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841899291 | Charlotte Mae Gerth Haanen | Psychologist | 2805 Cliff Rd E, Burnsville, MN 55337-4095 | 2020-10-17 |
| 1831722594 | Collaboration for Psychological Wellness, LLC | Psychologist | 12000 Portland Ave Ste 120, Burnsville, MN 55337-4469 | 2020-02-20 |
| 1750868212 | Nicole Marie Johnson | Psychologist | 200 E Travelers Trl Ste 205, Burnsville, MN 55337-4191 | 2018-07-26 |
| 1871619718 | Maggie Clare Happe | Psychologist | 2009 Southcross Dr W, Unit 905, Burnsville, MN 55306-7922 | 2007-03-22 |
| 1942325626 | William Hoekstra Pa | Psychologist | 1020 E 146th St, #117, Burnsville, MN 55337-6703 | 2007-03-20 |
| 1649381419 | Leslie Levine Adler | Psychologist | 200 E Travelers Trl, Suite 225, Burnsville, MN 55337-4097 | 2006-08-31 |
| 1114942950 | Dorothy Eleanor Wintz | Psychologist | 1500 Mcandrews Rd W Ste 201, Burnsville, MN 55337-4445 | 2006-07-13 |
| 1679551527 | Andrea Renee Zuellig | Psychologist | 14569 Grand Ave, Burnsville, MN 55306-5729 | 2006-01-01 |
| 1679071823 | Casey Daniel Lloyd | Psychologist | 675 E Nicollet Blvd Ste 250, Burnsville, MN 55337-6768 | 2018-01-23 |
| 1376055665 | Mark Dominic Bertucci | Psychologist | 675 E Nicollet Blvd Ste 250, Burnsville, MN 55337-6768 | 2017-10-26 |
| Find all providers in BURNSVILLE | ||||
| City | BURNSVILLE |
| Zip Code | 55337 |
Please comment or provide details below to improve the information on DR. TINA DINESH SHAH.
| 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.