Shauna Balch, PSY.D.

Primary specialty

PsychologistTaxonomy code 103T00000X

License

022653-1 Issued in NY

Practice address

37 W 26TH St
New York, NY 10010-1006

Phone

(917) 673-2749

NPI assigned

Jun 20, 2013

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

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1371686400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1546387200000",
    "number": "1023457363",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "75 W 238TH ST",
            "address_2": "APT. 2H",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104634239",
            "telephone_number": "917-673-2749"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "37 W 26TH ST",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100101006",
            "telephone_number": "917-673-2749"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BALCH",
        "first_name": "SHAUNA",
        "credential": "PSY.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-06-20",
        "last_updated": "2019-01-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist",
            "state": "NY",
            "license": "022653-1",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "A100136597",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Yoni Balboul
• Keilany Ashley Balbuena Pereira, LP-MFT
• Adolfo Angel Balbuena Jr.
• Pauleen Rose Jurilla Balbuena
• Rachele Balbuena
• Radesh Richard Balcharan, PHARM. D
• Emily Ann Balczewski, MD, PHD
• Laura Veronica Balda
• Rohit Kumar Balubhai Baldaniya
• Alpha Amadou Balde

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 2, 2019; 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.