Individual provider Active NPI

Christine Shoop, PH.D.

  • School Psychologist
  • Monticello, NY
National Provider Identifier
1104272129
Registry record updated May 9, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
School PsychologistTaxonomy code 103TS0200X
License
689004 Issued in NY
Practice address
606 Old Route 17
Monticello, NY 12701-7013
Phone
(845) 728-2860
NPI assigned
May 9, 2016
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 9, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
School Psychologist 103TS0200X 689004 NY Primary

Addresses

Primary practice location

606 Old Route 17
Monticello, NY 12701-7013

Mailing address

92 Gibson Rd
Goshen, NY 10924-6615
Phone (845) 728-2860

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20200214000902 NY Practitioner - Clinical Psychologist 7719313568 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 2016
Medicare assignment
May accept Medicare assignment
Group practices
The Center for Discovery IncGroup PAC ID 1557250933, 22 clinicians

Practice addresses (Care Compare)

606 Old Route 17
Monticello, NY 12701-7013
Phone (845) 707-8400

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
689004NYMDSchool Psychologist
023137NYMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
The Center for Discovery Inc CurrentSince Nov 24, 2020 Accepting new patients
Grunblatt Psychology and Counseling Offices, P.C. CurrentSince Jan 20, 2020 Accepting new patients
Hambright Medical, PLLC CurrentSince May 6, 2025 Accepting new patients
The Center for Discovery Inc CurrentSince Nov 24, 2020 Accepting new patients

Locations

167 Green St
Kingston, NY 12401
Phone (845) 241-7060

124 Green St
Kingston, NY 12401
Phone (845) 331-3001

606 Old Route 17
Monticello, NY 12701
Phone (845) 707-8400

Networks

  • Healthfirst Medicare Network H9678
  • Healthfirst Medicare Network H3359
  • Healthfirst Medicare Network H5989
  • Healthfirst Medicare Network H1722

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/ABDFBD/Endpoint/ABDFBD

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1462752000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1462752000000",
    "number": "1104272129",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "92 GIBSON RD",
            "city": "GOSHEN",
            "state": "NY",
            "postal_code": "109246615",
            "telephone_number": "845-728-2860"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "606 OLD ROUTE 17",
            "city": "MONTICELLO",
            "state": "NY",
            "postal_code": "127017013",
            "telephone_number": "845-728-2860"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHOOP",
        "first_name": "CHRISTINE",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-05-09",
        "last_updated": "2016-05-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TS0200X",
            "taxonomy_group": "",
            "desc": "Psychologist, School",
            "state": "NY",
            "license": "689004",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Monticello, NY

Sources for this page

Verify at the official NPI Registry.