JOCELYN SHAW


Address: 1745 Broadway, 17 Fl, New York, NY 10019-4640
Phone: 2128518100

JOCELYN SHAW (NPI# 1912308917) 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) 1912308917
Entity Type Individual
Full Name JOCELYN SHAW
Practice Address 1745 Broadway
17 Fl
New York
NY 10019-4640
Mailing Address 611 E 11th St
6c
New York
NY 10009-4108
Practice Telephone 2128518100
Practice Fax Number 2125370102
Enumeration Date 2014-09-09
Last Update Date 2016-10-18
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 103TC0700X Psychologist
Specialization: Clinical
021380 NY Behavioral Health & Social Service Providers

Office Location

Street Address 1745 BROADWAY
17 FL
City NEW YORK
State NY
Zip Code 10019-4640

Providers in the same location

NPI Name Taxonomy Address Enumeration
1316960719 Abigail Gleason Psychologist 1745 Broadway, 17 Fl, New York, NY 10019-4640 2006-07-26
1932627130 Edlynne Victoria Safi Specialist 1745 Broadway, New York, NY 10019-4640 2017-09-07
1619493707 Danielle Barnett Social Worker 1745 Broadway, New York, NY 10019 2017-08-21
1922551571 Deborah R Reichman Psychologist 1745 Broadway, 17th Fl., New York, NY 10019-4640 2016-08-01
1942686985 Scott Emerson Lloyd Clinical Neuropsychologist 1745 Broadway, 17 Fl, New York, NY 10019-4640 2015-07-31
1114353851 Janice Blackham Psychologist 1745 Broadway, 17 Fl., New York, NY 10019-4640 2013-09-25
1689017634 Rita M. Bender Psychologist 1745 Broadway, 17 Fl, New York, NY 10019-4640 2013-04-09
1003153115 Lorri Reynard Psychologist 1745 Broadway, 17 Fl, New York, NY 10019-4640 2013-01-09
1326329582 Debra D Cassidy Psychologist 1745 Broadway, 17 Fl, New York, NY 10019-4640 2011-09-01
1730467127 Dora Viviana Gutierrez Psychologist 1745 Broadway, 17th Fl., New York, NY 10019-4640 2011-08-02
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Taxonomy Information

Taxonomy Code 103TC0700X
Grouping Behavioral Health & Social Service Providers
Classification Psychologist
Specialization Clinical

Taxonomy Definition

Definition to come...

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1912505587 Elspeth Hayden Kelly Psychologist 519 8th Ave Fl 8, New York, NY 10018-6506 2020-10-15
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1164037909 Katherine Louise Rachlin Psychologist 708 Greenwich St Apt 5b, New York, NY 10014-2598 2020-09-09
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1952914335 Danielle Landau Psychologist 127 W 96th St Apt 12e, New York, NY 10025-6482 2020-08-26
1265045744 Jennifer A Drapkin Psychologist 136 W 71st St Apt 4f, New York, NY 10023-4024 2020-08-25
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Competitor

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City NEW YORK
Zip Code 10019

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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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