Shay Eileen Park Richards

Primary specialty

Social WorkerTaxonomy code 104100000X

License

099592 Issued in NY

Practice address

7714 Number Three Rd
Lowville, NY 13367-3521

Phone

(315) 376-5958

Fax

(315) 376-5953

NPI assigned

Dec 13, 2016

Sex

Female

Sole proprietor

No

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)

Not enrolled

State licenses

Practice roles

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.

• Children'S Home of Jefferson County

  • Community/Behavioral Health Agency
  • Watertown, NY
  • NPI 1538455696
  NPD (past)
• Children'S Home of Jefferson County

  • Case Management Agency
  • Watertown, NY
  • NPI 1770625527
  NPD (past)
• Lewis County Community Services Board

  • Substance Use Disorder Rehabilitation Clinic/Center
  • Lowville, NY
  • NPI 1386741551
  NPD (past)

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

{
    "created_epoch": "1481587200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1607904000000",
    "number": "1043754864",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8791 NUMBER FOUR RD",
            "city": "LOWVILLE",
            "state": "NY",
            "postal_code": "133673258",
            "telephone_number": "315-376-5958",
            "fax_number": "315-376-5953"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7714 NUMBER THREE RD",
            "city": "LOWVILLE",
            "state": "NY",
            "postal_code": "133673521",
            "telephone_number": "315-376-5958",
            "fax_number": "315-376-5953"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PARK RICHARDS",
        "first_name": "SHAY",
        "middle_name": "EILEEN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-12-13",
        "last_updated": "2020-12-14",
        "certification_date": "2020-12-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "NY",
            "license": "099592",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Open Sky Healing Arts Center LLC
• Open Sky Wellness, LLC
• Betty Ortlieb, LPN
• Shereen E Palmer, MD
• Steven D Pals, MD
• Pathways Counseling Services, LLP
• Shauna Lynn Patrick, BIRTH DOULA
• Melissa Pavo-Zehr
• Pco PC
• Lisa M Peebles

• Social Worker in Lowville, NY
• Providers in Lowville, NY by specialty
• Social Worker in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 14, 2020; 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.