Active NPIIndividual providerSole proprietor

Dr. John J Shaw, PHD

Psychologist in Nyack, New York

NPI Number1144380254
Practice location
127 S Broadway, Nyack, NY 10960-4433
Fax
845-358-4591
Last updated
March 31, 2020

John J Shaw is a Psychologist based in Nyack, NY. John J Shaw practices in Nyack, NY and has the professional credentials of PHD. The NPI Number for John J Shaw is 1144380254 and holds a License No. 6099 (NY). The current practice location address for John J Shaw is 127 S Broadway, Nyack, NY 10960-4433 and can be reached out via phone at 845-358-4591 and via fax at 845-358-4591.

Provider Profile Details

NPI Number
1144380254
Provider Name
John J Shaw
Credential
PHD
Provider Entity Type
Individual
Gender
Male
Address
127 S Broadway, Nyack, NY 10960-4433
Phone Number
845-358-4591
Fax Number
845-358-4591
Primary Taxonomy
Psychologist · 103T00000X
Sole Proprietor
Yes
Provider Enumeration Date
December 11, 2006
Last Update Date
March 31, 2020
Certification Date
March 31, 2020
NPI Status
Active

Provider Business Practice Location Address Details

Address
127 S Broadway
Nyack, NY 10960-4433
City
Nyack
Zip
10960-4433
Phone Number
845-358-4591
Fax Number
845-358-4591
Nyack, NY 10960Get directions →

Provider Business Mailing Address Details

Address
127 S Broadway
Nyack, NY 10960-4433
City
Nyack
State
NY
Zip
10960-4433
Phone Number
845-358-4591
Fax Number
845-358-4591

License Information

License Number (1)
6099
License State (1)
NY
Taxonomy (1)
Psychologist, Clinical · 103TC0700X
License Number (2)
006099
License State (2)
NY
Taxonomy (2)
Psychologist · 103T00000X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
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. John J Shaw, PHD?

The NPI number of Dr. John J Shaw, PHD is 1144380254. It was assigned on December 11, 2006 and is currently active in the NPPES registry.

What is the specialty of Dr. John J Shaw, PHD?

Dr. John J Shaw, PHD is registered under the primary taxonomy Psychologist (code 103T00000X), licensed in NY under license number 6099.

Where does Dr. John J Shaw, PHD practice?

The practice location is 127 S Broadway, Nyack, NY 10960-4433. The office can be reached at 845-358-4591 (phone) or 845-358-4591 (fax).

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 1144380254 directly on the NPPES registry website.

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