Miriam Shields, PSYD

Primary specialty

Clinical Child & Adolescent PsychologistTaxonomy code 103TC2200X

Practice address

13681 71St Rd
Flushing, NY 11367-1942

Phone

(917) 667-8466

NPI assigned

Dec 6, 2018

Sex

Female

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 NY

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, 1994

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Senior Behavioral Group IncGroup PAC ID 6709299019, 3 clinicians

Adult Care Psychology Services, PLLCGroup PAC ID 7911898747, 2 clinicians

Practice addresses (Care Compare)

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 and National Provider Directory roles.

• Adult Care Psychology Services, PLLC

  • Clinical Psychologist
  • Flushing, NY
  • NPI 1609935444
  Medicare reassignment Care Compare group NPD
• Senior Behavioral Group, Inc.

  • Clinical Psychologist
  • Jamaica, NY
  • NPI 1447852744
  Medicare reassignment Care Compare group NPD
• Balanced Living Incorporated

  • Nutritionist
  • Flushing, NY
  • NPI 1811390297
  NPD (past)

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

{
    "created_epoch": "1544054400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1544054400000",
    "number": "1063983757",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13681 71ST RD",
            "city": "FLUSHING",
            "state": "NY",
            "postal_code": "113671942",
            "telephone_number": "917-667-8466"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13681 71ST RD",
            "city": "FLUSHING",
            "state": "NY",
            "postal_code": "113671942",
            "telephone_number": "917-667-8466"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHIELDS",
        "first_name": "MIRIAM",
        "name_prefix": "Dr.",
        "credential": "PSYD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-12-06",
        "last_updated": "2018-12-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC2200X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical Child & Adolescent",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Wendy Shi
• Xiandong Shi, M.D.
• Xiaoyu Shi, NP
• Ximing Shi, LMT
• Shidong Su, MD,PC
• Rick Shields, CDN PHD
• Jennifer Kathleen Shih
• Juien Shih
• Pei-Yu Shih
• San Cheng Shih, M.D.

• Clinical Child & Adolescent Psychologist in Flushing, NY
• Providers in Flushing, NY by specialty
• Clinical Child & Adolescent Psychologist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 6, 2018; 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.