Suhas Shanbhag, MD – Psychiatry Physician

Key facts

NPI: 1144292004
Entity type: Individual (NPI type 1)
Primary specialty: Psychiatry Physician 2084P0800X
License: MA69796 (NJ)
Practice address: Sullivan Way
Trenton Psychiatric Hospital
West Trenton, NJ 08628
Phone: (609) 633-1502
NPI assigned: Feb 6, 2006
Sex: Female
Sole proprietor: No

Organizations & group practices 1

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.

Cornerstone Family Programs Community/Behavioral Health Agency · Morristown, NJ · NPI 1639243819

NPD (past)

Medicare participation

Medicare fee-for-service enrollment: Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD): No
Credentials: Doctor of Medicine

State licenses

License	State	Type	Specialty
MA69796	NJ	MD	Psychiatry Physician

Practice roles

Organization	Specialty	Status	New patients
Cornerstone Family Programs		Past	Accepting new patients

Specialties & licenses

Specialty (taxonomy)	Code	License	State	Primary
Psychiatry Physician	2084P0800X	MA69796	NJ	Yes

Addresses

Primary practice location

Sullivan Way
Trenton Psychiatric Hospital
West Trenton, NJ 08628

Mailing address

PO Box 7500
Sullivan Way
West Trenton, NJ 08628
Phone (609) 633-1502

Other identifiers

Identifier	Type	State	Issuer
8764808	Medicaid	NJ

Other providers in West Trenton, NJ

All providers in West Trenton, NJ · Psychiatry Physician in New Jersey

Sources for this page

NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 22, 2010. Information in NPPES is self-reported and not verified by CMS.
NUCC Health Care Provider Taxonomy: specialty names.
National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.