Active NPI
Purvi Deepak Shah, PH.D.
- Clinical Psychologist
- Hamden, CT
National Provider Identifier
1053502013
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- 016902
- Practice address
- 2405 Whitney Ave
Apt 306
Hamden, CT 06518-3235 - Phone
- (516) 205-6080
- NPI assigned
- Aug 6, 2007
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | 016902 | NY | Primary |
Addresses
Primary practice location
2405 Whitney Ave
Apt 306
Hamden, CT 06518-3235
Mailing address
2405 Whitney Ave
Apt 306
Hamden, CT 06518-3235
Phone (516) 205-6080
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Philosophy
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1186358400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1186358400000",
"number": "1053502013",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2405 WHITNEY AVE",
"address_2": "APT 306",
"city": "HAMDEN",
"state": "CT",
"postal_code": "065183235",
"telephone_number": "516-205-6080"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2405 WHITNEY AVE",
"address_2": "APT 306",
"city": "HAMDEN",
"state": "CT",
"postal_code": "065183235",
"telephone_number": "516-205-6080"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SHAH",
"first_name": "PURVI",
"middle_name": "DEEPAK",
"name_prefix": "Dr.",
"credential": "PH.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-08-06",
"last_updated": "2007-08-06",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "NY",
"license": "016902",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Hamden, CT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 6, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.