Organization Active NPI

Cristina Shaheen, LLC

  • Clinical Neuropsychologist
  • Metuchen, NJ
National Provider Identifier
1073086591
Registry record updated May 9, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical NeuropsychologistTaxonomy code 103G00000X
Legal business name
CRISTINA SHAHEEN, LLC
Practice address
296 Amboy Ave
Metuchen, NJ 08840-2471
Phone
(732) 784-3536
NPI assigned
Jan 8, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 9, 2023

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Cristina Shaheen, PSYDNPI 1225396161
Title
Clinical Neuropsychologist/Owner
Phone
(732) 693-3854

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical NeuropsychologistGroup: 193400000X SINGLE SPECIALTY GROUP 103G00000X Primary

Addresses

Primary practice location

296 Amboy Ave
Metuchen, NJ 08840-2471

Mailing address

296 Amboy Ave
Metuchen, NJ 08840-2471
Phone (732) 784-3536

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20190206000076 NJ Part B Supplier - Clinic/Group Practice 1456699131 Receives reassigned benefits from 1 practitioner
Practice locations: West Long Branch, NJ

National Provider Directory

National Provider Directory

Locations

296 Amboy Ave
Metuchen, NJ 08840
Phone (732) 548-2422

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1546905600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1683590400000",
    "number": "1073086591",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "296 AMBOY AVE",
            "city": "METUCHEN",
            "state": "NJ",
            "postal_code": "088402471",
            "telephone_number": "732-784-3536",
            "fax_number": "732-784-3532"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "296 AMBOY AVE",
            "city": "METUCHEN",
            "state": "NJ",
            "postal_code": "088402471",
            "telephone_number": "732-784-3536"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CRISTINA SHAHEEN, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-01-08",
        "last_updated": "2023-05-09",
        "certification_date": "2023-05-09",
        "status": "A",
        "authorized_official_last_name": "SHAHEEN",
        "authorized_official_first_name": "CRISTINA",
        "authorized_official_title_or_position": "CLINICAL NEUROPSYCHOLOGIST/OWNER",
        "authorized_official_telephone_number": "732-693-3854",
        "authorized_official_credential": "PSYD"
    },
    "taxonomies": [
        {
            "code": "103G00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Clinical Neuropsychologist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Metuchen, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 9, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.