Active NPI
Deborah Lee Shea, MSED
- Behavior Technician
- New York, NY
National Provider Identifier
1104309756
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Technician
- License
- 12345
- Practice address
- 226 W 108TH St Apt 6D
New York, NY 10025-2950 - Phone
- (917) 544-9244
- NPI assigned
- Sep 10, 2018
- 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 |
|---|---|---|---|---|
| Behavior Technician | 106S00000X | 12345 | NY | Primary |
Addresses
Primary practice location
226 W 108TH St Apt 6D
New York, NY 10025-2950
Mailing address
226 W 108TH St Apt 6D
New York, NY 10025-2950
Phone (917) 544-9244
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 12345 | NY | MD | Family Medicine Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1536537600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1536537600000",
"number": "1104309756",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "226 W 108TH ST APT 6D",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100252950",
"telephone_number": "917-544-9244"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "226 W 108TH ST APT 6D",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100252950",
"telephone_number": "917-544-9244"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SHEA",
"first_name": "DEBORAH",
"middle_name": "LEE",
"credential": "MSED",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-09-10",
"last_updated": "2018-09-10",
"status": "A"
},
"taxonomies": [
{
"code": "106S00000X",
"taxonomy_group": "",
"desc": "Behavior Technician",
"state": "NY",
"license": "12345",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in New York, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 10, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.