DR. JEFFREY STEPHEN SHAW


Address: 25 Sutton Pl S Apt 17a, New York, NY 10022-2460
Phone: (212) 986-5571

DR. JEFFREY STEPHEN SHAW (NPI# 1962593483) 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) 1962593483
Entity Type Individual
Full Name DR. JEFFREY STEPHEN SHAW
Credential PHD
Practice Address 25 Sutton Pl S Apt 17a
New York
NY 10022-2460
Practice Telephone (212) 986-5571
Mailing Telephone (212) 986-5571
Enumeration Date 2006-09-28
Last Update Date 2017-08-09
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 103T00000X Psychologist 0097681 NY Behavioral Health & Social Service Providers

Other Provider Identifier

State Issuer Identifier Type Code
NY 01234853 05

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Office Location

Street Address 25 SUTTON PL S APT 17A
City NEW YORK
State NY
Zip Code 10022-2460

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NPI Name Taxonomy Address Enumeration
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1437616968 Rebekah Wotman Nurse Practitioner 121 E 60th Street, Suite 4c, New York, NY 10022 2019-02-20
1972086684 Steven Kyongmin Kim Dentist 209 E 56th St Frnt 1, New York, NY 10022 2018-09-09
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Taxonomy Information

Taxonomy Code 103T00000X
Grouping Behavioral Health & Social Service Providers
Classification Psychologist

Taxonomy Definition

A psychologist is an individual who is licensed to practice psychology which is defined as the observation, description, evaluation, interpretation, and modification of human behavior by the application of psychological principles, methods, and procedures, for the purpose of preventing or eliminating symptomatic, maladaptive, or undesired behavior and of enhancing interpersonal relationships, work and life adjustment, personal effectiveness, behavioral health, and mental health. The practice of psychology includes, but is not limited to, psychological testing and the evaluation or assessment of personal characteristics, such as intelligence, personality, abilities, interests, aptitudes, and neuropsychological functioning; counseling, psychoanalysis, psychotherapy, hypnosis, biofeedback, and behavior analysis and therapy; diagnosis and treatment of mental and emotional disorder or disability, alcoholism and substance abuse, disorders of habit or conduct, as well as of the psychological aspects of physical illness, accident, injury, or disability; and psycheducational evaluation, therapy, remediation, and consultation. Psychological services may be rendered to individuals, families, groups and the public.
Notes: Source: American Psychological Association [1/1/2007: modified definition]

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1790308864 Ayelet Boussi Psychologist 270 Lafayette St Ste 702, New York, NY 10012-3384 2020-05-24
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Competitor

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City NEW YORK
Zip Code 10022

Improve Information

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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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