Tae I Shynn

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

Legal business name

TAE I SHYNN

Practice address

121 S Prospect St
Nanticoke, PA 18634-2456

Phone

(570) 735-7590

Fax

(570) 735-0186

NPI assigned

Jul 8, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Tae I Shynn, MD

Title

Owner

Phone

(570) 735-7590

Specialties & licenses 1

Addresses

Locations

Practitioners 1

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

• Judith A Frisbie, CSW

  • Clinical Social Worker
  • West Pittston, PA
  • NPI 1598790727
  NPD (past)

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

{
    "created_epoch": "1152316800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1493164800000",
    "number": "1124051784",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "121 S PROSPECT ST",
            "city": "NANTICOKE",
            "state": "PA",
            "postal_code": "186342456",
            "telephone_number": "570-735-7590",
            "fax_number": "570-735-0186"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "121 S PROSPECT ST",
            "city": "NANTICOKE",
            "state": "PA",
            "postal_code": "186342456",
            "telephone_number": "570-735-7590",
            "fax_number": "570-735-0186"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TAE I SHYNN",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-08",
        "last_updated": "2017-04-26",
        "status": "A",
        "authorized_official_last_name": "SHYNN",
        "authorized_official_first_name": "TAE",
        "authorized_official_middle_name": "I",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "570-735-7590",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Psychiatry Physician in Nanticoke, PA
• Providers in Nanticoke, PA by specialty
• Psychiatry Physician in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 26, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.