Shabnam Shakibaie Smith, M.D.

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

License

239512 Issued in NY

Practice address

160 W End Ave Ste in
New York, NY 10023-5601

Phone

(646) 620-9158

Fax

(877) 919-4362

NPI assigned

Jun 15, 2006

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

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

{
    "created_epoch": "1150329600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1387497600000",
    "number": "1023052982",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "160 WEST END AVENUE",
            "address_2": "SUITE 1N",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "10023",
            "telephone_number": "212-305-2330",
            "fax_number": "212-305-4724"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "160 W END AVE STE IN",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100235601",
            "telephone_number": "646-620-9158",
            "fax_number": "877-919-4362"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHAKIBAIE SMITH",
        "first_name": "SHABNAM",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-06-15",
        "last_updated": "2013-12-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "NY",
            "license": "239512",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Alexandra Shaker, PHD
• Rudolph Wesley Shakes, FNP
• Michele Shakhmurov
• Esfira Shakhmurova, FNP
• Manoucher Shakib, M.D., PH.D.
• Rashail Shakil
• Sara Ellen Shakin
• Nurije Shakir Jashar
• Fatema Shakir, LMSW
• Alexander Shaknovich, M.D.

• Psychiatry Physician in New York, NY
• Providers in New York, NY by specialty
• Psychiatry Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 20, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.