S.H.a.P.E Solutions LLC

Primary specialty

Developmentally Disabled Services Day Training AgencyTaxonomy code 251C00000X

Legal business name

S.H.A.P.E SOLUTIONS LLC

Practice address

12237 Fairfield House Dr Apt 311
Fairfax, VA 22033-3953

Phone

(202) 215-9252

NPI assigned

Oct 5, 2018

Last updated

Oct 5, 2018By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Ms. Carolyn R. Young

Title

President

Phone

(202) 215-9252

Specialties & licenses 5

Addresses

Other identifiers 1

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

{
    "created_epoch": "1538697600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1538697600000",
    "number": "1023583069",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3448 ANDREW CT APT 102",
            "city": "LAUREL",
            "state": "MD",
            "postal_code": "207242359",
            "telephone_number": "202-215-9252"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12237 FAIRFIELD HOUSE DR APT 311",
            "city": "FAIRFAX",
            "state": "VA",
            "postal_code": "220333953",
            "telephone_number": "202-215-9252"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "S.H.A.P.E SOLUTIONS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-10-05",
        "last_updated": "2018-10-05",
        "status": "A",
        "authorized_official_last_name": "YOUNG",
        "authorized_official_first_name": "CAROLYN",
        "authorized_official_middle_name": "R.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "202-215-9252",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "251C00000X",
            "taxonomy_group": "",
            "desc": "Day Training, Developmentally Disabled Services",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "385HR2060X",
            "taxonomy_group": "",
            "desc": "Respite Care, Respite Care, Intellectual and/or Developmental Disabilities, Child",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "106E00000X",
            "taxonomy_group": "",
            "desc": "Assistant Behavior Analyst",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NONE",
            "identifier": "Y520108734422",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Adrian Ryczak
• Joanna Rydalch, MSW,LCSW
• Jessica Gergis Ryder, LPC
• Dean Gordon Rye, D.D.S.
• Elizabeth Joy Rzengota, MA, LPC
• Antonio Fadio Saad, M.D.
• Deborah Lynn Saba, LPC
• Abel Sabarre, DPT
• Shabnam Sachdeva, M.D.
• Nisha Vinesh Sadani

• Developmentally Disabled Services Day Training Agency in Fairfax, VA
• Providers in Fairfax, VA by specialty
• Developmentally Disabled Services Day Training Agency in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 5, 2018; 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.