Active NPI
Shefali Tsabary
- Psychologist
- Bayside, NY
National Provider Identifier
1063662674
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- License
- 018350
- Practice address
- 4215 213TH St
Bayside, NY 11361-2854 - Phone
- (718) 930-5086
- NPI assigned
- Sep 19, 2008
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Psychologist | 103T00000X | 018350 | NY | Primary |
Addresses
Primary practice location
4215 213TH St
Bayside, NY 11361-2854
Mailing address
4215 213TH St
Bayside, NY 11361-2854
Phone (718) 930-5086
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 018350 | NY | MD | Occupational Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1221782400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1263945600000",
"number": "1063662674",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4215 213TH ST",
"city": "BAYSIDE",
"state": "NY",
"postal_code": "113612854",
"telephone_number": "718-930-5086"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4215 213TH ST",
"city": "BAYSIDE",
"state": "NY",
"postal_code": "113612854",
"telephone_number": "718-930-5086"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TSABARY",
"first_name": "SHEFALI",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-09-19",
"last_updated": "2010-01-20",
"status": "A"
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "NY",
"license": "018350",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Bayside, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 20, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.