Dr. David J Shim, PHD
Psychologist, Clinical in West Newton, Massachusetts
1124335856- Practice location
- 1507 Washington St, West Newton, MA 02465-2219
- Phone
- 781-985-5745
- Fax
- —
- Last updated
- September 1, 2010
David Jung Sug Shim is a Psychologist, Clinical based in West Newton, MA. David Jung Sug Shim practices in West Newton, MA and has the professional credentials of PHD. The NPI Number for David Jung Sug Shim is 1124335856 and holds a License No. 7738 (MA). The current practice location address for David Jung Sug Shim is 1507 Washington St, West Newton, MA 02465-2219 and can be reached out via phone at 781-985-5745.
Provider Profile Details
- NPI Number
- 1124335856
- Provider Name
- David Jung Sug Shim
- Credential
- PHD
- Provider Entity Type
- Individual
- Gender
- Male
- Address
- 1507 Washington St, West Newton, MA 02465-2219
- Phone Number
- 781-985-5745
- Primary Taxonomy
- Psychologist, Clinical · 103TC0700X
- Sole Proprietor
- Yes
- Other Names
- Dr. David J. Gehrenbeck-Shim, PHD (Professional Name)
- Provider Enumeration Date
- September 1, 2010
- Last Update Date
- September 1, 2010
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 1507 Washington St
West Newton, MA 02465-2219 - City
- West Newton
- State
- Massachusetts
- Zip
- 02465-2219
- Phone Number
- 781-985-5745
Provider Business Mailing Address Details
- Address
- 11 Beaver St
Waltham, MA 02453-7003 - City
- Waltham
- State
- MA
- Zip
- 02453-7003
- Phone Number
- 781-893-0611
License Information
- License Number
- 7738
- License State
- MA
- Taxonomy
- Psychologist, Clinical · 103TC0700X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
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Frequently Asked Questions
What is the NPI number of Dr. David J Shim, PHD?
The NPI number of Dr. David J Shim, PHD is 1124335856. It was assigned on September 1, 2010 and is currently active in the NPPES registry.
What is the specialty of Dr. David J Shim, PHD?
Dr. David J Shim, PHD is registered under the primary taxonomy Psychologist, Clinical (code 103TC0700X), licensed in MA under license number 7738.
Where does Dr. David J Shim, PHD practice?
The practice location is 1507 Washington St, West Newton, MA 02465-2219. The office can be reached at 781-985-5745 (phone).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1124335856 directly on the NPPES registry website.