Yaakov Shugarman, PSY.D.

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

06088 Issued in MD

Practice address

5603 Newbury St
Baltimore, MD 21209-3603

Phone

(410) 999-8060

Fax

(410) 787-5454

NPI assigned

Jul 13, 2018

Last updated

Jul 16, 2020By the provider in NPPES

Sex

Male

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

Enrolled in MD

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, 2017

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

66.41 of 100Reported as group

Quality

30.12

Promoting interoperability

80

Improvement activities

40

Cost

57.93

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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

• Individualized Psychological Services

  • Clinical Psychologist
  • Baltimore, MD
  • NPI 1891260006
  Medicare reassignment NPD Authorized official
• Sheppard Pratt Physicians, P.a.

  • Psychiatry Physician
  • Baltimore, MD
  • NPI 1518990712
  Medicare reassignment NPD

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

{
    "created_epoch": "1531440000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1594857600000",
    "number": "1023594017",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5603 NEWBURY ST",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212093603",
            "telephone_number": "410-999-8060"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5603 NEWBURY ST",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212093603",
            "telephone_number": "410-999-8060",
            "fax_number": "410-787-5454"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHUGARMAN",
        "first_name": "YAAKOV",
        "name_prefix": "Dr.",
        "credential": "PSY.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2018-07-13",
        "last_updated": "2020-07-16",
        "certification_date": "2020-07-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "MD",
            "license": "06088",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Henry Tout Shu
• Qing Shu, PA
• Jocelyn Shubella, M.D.
• Caroline Guinivere Shufford, P.T.
• Talia Shugarman
• Destiny Shugrue, PMHNP
• Christina L Shuja, FNP
• Nidhi Kotwal Shukla, MD
• Sudha Shukla, PHARMD
• Irfan Shukrullah, M.D

• Clinical Psychologist in Baltimore, MD
• Providers in Baltimore, MD by specialty
• Clinical Psychologist in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 16, 2020; 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.