Shahla Gorovoy, PHD

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

020940 Issued in NY

Practice address

225 Dolson Ave
Middletown, NY 10940-6569

Phone

(845) 325-6202

NPI assigned

Nov 13, 2009

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Enrolled in NY

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Clinical Psychologist

Education

Other, 2013

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

State licenses

Practice roles

Locations

Networks

• Healthfirst Medicare Network H5989
• Healthfirst Medicare Network H1722
• Healthfirst Medicare Network H3359
• Healthfirst Medicare Network H9678

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Shahla Gorovoy Psychologist PC

  • Clinical Psychologist
  • Middletown, NY
  • NPI 1689482929
  Medicare reassignment NPD Authorized official
• Hudson Valley Family Services

  • Clinical Psychologist
  • Newburgh, NY
  • NPI 1316222698
  NPD (past)
• Hudson Valley Family Services

  • Clinical Social Worker
  • Chester, NY
  • NPI 1538408901
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1258070400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1677715200000",
    "number": "1003143934",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "P.O.BOX 439",
            "city": "HARRIMAN",
            "state": "NY",
            "postal_code": "109260439",
            "telephone_number": "845-325-6202"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "225 DOLSON AVE",
            "city": "MIDDLETOWN",
            "state": "NY",
            "postal_code": "109406569",
            "telephone_number": "845-325-6202"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "129 Wickham Ave",
            "address_purpose": "LOCATION",
            "city": "Middletown",
            "state": "NY",
            "postal_code": "109403714",
            "country_code": "US",
            "telephone_number": "845-342-6461",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GOROVOY",
        "first_name": "SHAHLA",
        "name_prefix": "Ms.",
        "credential": "PHD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-11-13",
        "last_updated": "2023-03-02",
        "certification_date": "2023-03-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "076905",
            "primary": false
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "NY",
            "license": "020940",
            "primary": true
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "020940",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• William Gore
• Dmitri Gorelov, DO
• Victoria Gorelova
• Danielle J Gorman
• Danielle Marie Gorman, M.S. CF-SLP
• Raghuram Gorti, MD
• William Gotsis, MD
• Kerry Lee Gould, PHARMD
• Kimberly N Gove
• Grace Episcopal Church, Middletown Ny

• Clinical Psychologist in Middletown, NY
• Providers in Middletown, NY by specialty
• Clinical Psychologist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 2, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.